Subjects: Medicine, Pharmacy >> Clinical Medicine submitted time 2023-03-15 Cooperative journals: 《中国全科医学》
Abstract： General practitioners are medical personnel with high integrated degree，and are the "gatekeepers" of residents' health. Violent incidents affecting health care not only seriously harm the the physical and psychological health of general practitioners，also affect the quality and level of basic medical services，which increases the turnover of general practitioners and the economic burden on the health care system. Previous studies have shown that more than half of general practitioners had experienced workplace violence，with the most common types including verbal violence and threats，followed by physical violence，sexual harassment and assault，patients and their family members were the main perpetrators. The failure of the medical services quality to meet the demands of patients，alcohol abuse，drug abuse and mental disorders of perpetrators，poor physician-patient communication were important factors associated with workplace violence. It is suggested to improve policies and regulations, norms of conduct related to workplace violence of healthcare workers，establish and improve the reporting and punishment mechanisms，enhance the capacity of healthcare workers and health care institutions to provide medical services and prevent workplace violence，give proper play to the role of the public media, promote the establishment of "zero-tolerance" system for violence.
Subjects: Medicine, Pharmacy >> Clinical Medicine submitted time 2022-12-20 Cooperative journals: 《中国全科医学》
Abstract：
Background General practitioners (GPs) mainly provide basic medical and health services. The construction of GPs is closely related to the development of primary medical and health services. Objective To investigate the status and relationship between PsyCap, professional identity, and intention to stay among GPs in China. Methods A multi-stage stratified random sampling was conducted to collect data with an electronic questionnaire from 4,632 GPs in the eastern, central, and western China between March and May 2021. The questionnaire mainly included basic information, PsyCap, professional identity, and intention to stay. Statistical analysis was performed using general descriptive analysis, t-test, one-way analysis of variance, Pearson correlation analysis, multivariable hierarchical regression analysis, and structural equation model. Results A total of 4,376 GPs were included in this study. The total scores of PsyCap, professional identity, and intention to stay were (102.89±16.94), (33.93±8.95), and (21.69±4.04), respectively. Pearson correlation analysis showed that there were significant positive correlations between PsyCap, professional identity, and intention to stay, and PsyCap and intention to stay (P<0.001). The results of multivariable hierarchical regression analysis and structural equation model showed that PsyCap and professional identity had a positive predictive effect on intention to stay, and Professional identity plays a part mediating role in PsyCap’ effect on intention to stay. Conclusion The intention to stay among GPs in China is at a moderate level. There is a positive correlation between PsyCap, professional identity, and intention to stay among GPs in China. PsyCap affected intention to stay through professional identity. Improving the PsyCap and professional identity of GPs is conducive to improving their intention to stay.
Subjects: Medicine, Pharmacy >> Clinical Medicine submitted time 2022-11-14 Cooperative journals: 《中国全科医学》
Abstract： General practitioners are medical professionals with high comprehensive ability and specialized quality, and are the "gatekeepers" of residents' health. Workplace violence seriously harms the physical and mental health of general practitioners, affects the quality of basic medical services, and increases the turnover of general practitioners and the economic burden on the health system. Studies showed that more than half of general practitioners had experienced workplace violence, of which the most common types of violence were verbal abuse and threats, followed by physical violence and sexual harassment and assault. Patients and their families were the main perpetrators. The quality of medical services delivery not meeting the demands of patients, alcoholism, drug abuse and mental disorders of perpetrators and poor doctor-patient communication were important factors associated with workplace violence. It is suggested to improve policies, regulations and handling standards related to workplace violence against healthcare workers, improve and implement reporting and punishment mechanisms, enhance the capacity of healthcare professionals and providing high-quality health services among institutions to prevent workplace violence. Finally, we should give proper play to the role of the public media and promote the establishment of "zero-tolerance" system for violence.
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