将医疗保健暴力重新定义为系统性失败
Minal R Patel1, Patrick M Carter1,2,3,4, Marc A Zimmerman1,2
1School of Public Health, University of Michigan, Ann Arbor, Michigan, USA.
Journal of hospital medicine
|February 9, 2026
概括
医疗保健暴力是由系统性失败驱动的,而不是个人问题. 解决财政障碍和行政复杂性对于有效的预防策略至关重要.
科学领域:
- 医疗保健管理的管理
- 公共卫生 公共卫生
- 卫生社会学 卫生社会学
背景情况:
- 医疗保健工作者在工作场所遭受越来越多的暴力.
- 目前的证券投资并没有制这一趋势.
- 现有的预防策略专注于个体风险,忽视系统因素.
研究的目的:
- 确定对医疗保健工作者的暴力升级的根本原因.
- 建议预防策略从个人转向系统性重点.
- 概述一个研究议程,以了解医疗保健系统的失败与暴力之间的联系.
主要方法:
- 对医疗保健工作场所暴力的驱动因素的概念分析.
- 基于系统性失败 (金融障碍,保险问题,访问延迟,行政复杂性) 的论点.
- 关于未来研究议程的建议.
主要成果:
- 医疗保健中的暴力主要是系统性功能障碍的结果,而不是个体病理.
- 由于无法控制的机构失败,患者和公众直接对医疗保健工作者感到愤怒.
- 目前的安全措施不足,因为它们没有解决根源的系统性原因.
结论:
- 有效的暴力预防需要解决系统性医疗保健失败问题.
- 未来的研究应该调查医疗保健系统功能障碍与工作场所暴力之间的联系.
- 需要针对医疗保健系统问题的上游干预措施来补充安全措施.
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