美国医疗保健机构的警察暴力在美国媒体报道
1Department of Neurology, Massachusetts General Hospital, Harvard Medical School, Boston.
JAMA network open
|November 13, 2023
概括
医院警察和安全人员通过过度使用武力,枪击和性侵犯造成伤害. 改革政策,提高问责制和解除安全,可以提高患者和工作人员的安全.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 医学伦理 医学伦理
- 公共卫生政策 公共卫生政策
背景情况:
- 医院越来越依赖警察和安全人员,包括武装人员,但缺乏关于他们的活动和对安全的影响的数据.
- 了解医院安全实践与患者/工作人员安全之间的关联对于改善医疗保健环境至关重要.
研究的目的:
- 检查与医疗机构关联的警察和安全人员所造成的伤害.
- 确定涉及医院安全和执法人员的伤害模式和结果.
主要方法:
- 一项定性研究利用从2011年1月到2022年5月对美国新闻媒体进行系统的媒体云搜索.
- 对18987篇关于警察和医院的文章的内容和主题分析,重点关注对患者,家庭和工作人员的伤害事件.
- 从2022年10月到2023年4月进行的数据分析.
主要成果:
- 对25个州48起独特事件的分析揭示了包括枪击 (17名患者),过度使用武力 (17名患者),逮捕 (7名患者) 和性侵犯 (2名患者) 在内的伤害.
- 医院工作人员也受到伤害 (5人).
- 黑人受到了不成比例的影响,精神疾病是受影响患者中经常记录的疾病.
结论:
- 医院警察和安全人员已被卷入通过过度使用武力,枪击和性侵犯来延续伤害.
- 缺乏透明度和问责制可能会掩盖医疗机构内的结构性种族主义.
- 建议包括实施问责制措施,降级培训和解除医院安全,以减轻伤害并维护医疗保健的治愈使命.
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