Doctor becomes a patient: a qualitative study of health care work place violence related perception among junior doctors working in a teaching hospital in India

Background: Health care work place violence (HCWPV) is four times higher compared to violence against other professions. The problem remains under-reported and under-researched. Qualitative perception studies among junior doctors have not been paid due attention hitherto.Methods: Six individual face-to-face-indepth-interviews and six focus-group-discussions were conducted during December 2017 and January 2018 among 41 young doctors (interns, resident doctors i.e. post graduate students and young clinical faculty members). Thematic (content) analysis method was used for analysis of the data (texts).Results: Relevance, causes as well as consequences of HCWPV and measures for its prevention and control were brought up and discussed. Four themes emerged in thematic analysis. Almost all of the participants believed that it is an extremely important topic. Causation is multifactorial whereby all stakeholders are responsible. Consequences are affecting the whole society not merely the victims. Measures suggested were related to - in view of the causes - medical profession; patients and society; behavior and process; system and administration.Conclusions: Increasing materialism and eclipse of humanitarian values, media-created-violence, negative image of medical profession, patient-physician-distrust, zero-protection for doctors, apathetic governments and deficiencies in the process of justice are among the main causes of HCWPV. Junior doctors were not much optimistic of any improvement in near future in their safety and security as this would require more probity and unity among doctors and a clientele, a Health Care Delivery System, the Governments and a Judiciary much different from what it is today.

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Saving the Doctor-Patient Relationship and Raising Expectations

10.1093/oso/9780190626341.003.0007 ◽

2017 ◽

Author(s):

Timothy J. Hoff

Keyword(s):

Health Care ◽

Health Care Delivery ◽

Care Delivery ◽

Medical Profession ◽

Health Care Delivery System ◽

Performance Measurements ◽

Brand Building ◽

Make Health Care ◽

Patient Relationships ◽

Relational Care

We are moving quickly toward a corporately controlled, transactionally focused health care delivery system, one that sees patients as “consumers.” Retail thinking continues to take hold in the industry, emitting a rhetoric that promises much and places the organization at the center of the patient’s interactions with the system. Preserving strong, effective doctor-patient relationships in the midst of such change requires the medical profession to focus more on relational care in its training and advocacy; raising the importance of relational features such as trust and empathy in performance measurements and incentive plans for doctors; and trying to “monetize” relational care between doctor and patient in ways that make health care delivery organizations and the industry as a whole want to focus on it more as a source of brand-building and consumer loyalty.

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Health promotion and podogeriatrics. A conceptual design for preventive services

Journal of the American Podiatric Medical Association ◽

10.7547/87507315-80-2-100 ◽

1990 ◽

Vol 80 (2) ◽

pp. 100-103 ◽

Cited By ~ 1

Author(s):

AE Helfand

Keyword(s):

Health Care ◽

Health Care Delivery ◽

Professional Training ◽

Care Delivery ◽

Medical Profession ◽

The Elderly ◽

Health Care Delivery System ◽

Institutional Settings ◽

Care For The Elderly ◽

Foot Problems

Because the majority of practicing podiatrists' received their professional training when less emphasis was placed on geriatrics, future continuing education activities should be expanded to upgrade a practitioners' understanding of elderly patients and the diagnosis and treatment of their foot problems, particularly among the frail elderly living at home or in nursing homes or other institutional settings. Efforts should also include special emphasis on the current publications in the profession on the subject of aging, including patient care, health care delivery, and other related topics. The podiatric medical profession stands ready, as it has always done, to care for the elderly with dignity and quality. The elderly should not be allowed to waste away because of their inability to help themselves. As we strive to meet these objectives and needs, there is no doubt that they will be met, as long as there is a national recognition of the needs and appropriate changes take place in the total health care delivery system to provide the mechanism for action.

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Oral Health Related Knowledge And Attitude Of Anganwadi of Mangalore City, India

Journal of Chitwan Medical College ◽

10.3126/jcmc.v3i4.9545 ◽

2014 ◽

Vol 3 (4) ◽

pp. 6-8

Author(s):

Ajay Shakya ◽

A Rao ◽

R Shenoy ◽

M Shrestha

Keyword(s):

Health Care ◽

Oral Health ◽

Dental Caries ◽

Care Delivery ◽

Health Department ◽

Health Care Delivery System ◽

Medical College ◽

Care Approach ◽

Knowledge And Attitude ◽

Almost All

Dental caries is a common childhood disease. Its prevalence can be reduced by integrating dental strategies into primary health care approach. Knowledge, attitude and practice of anganwadi workers in the subject of oral health is imperative in achieving this goal. This study was therefore conducted to assess the knowledge and attitude towards oral health among anganwadi workers of Mangalore city. A questionnaire study, using convenience samples was conducted among 159 anganwadi workers of Mangalore city. A close ended questionnaire consisting of 20 questions was used. Details of age and qualification were recorded. The data was analyzed using SPSS 11.5. Only 45.9% of the anganwadi workers knew that dental caries was a disease, 57.2% knew that the best time to eat sweets was during meal time, 58.5% workers stated dentists as their source of oral health information. Almost all of the Anganwadi workers were positive towards the importance of oral health education and expressed their willingness to teach children how to brush properly and obliged to advise a child needing dental care to go to dentist. An anganwadi worker can be a vital link in the health care delivery system. There is a need to educate them on oral health in order to reach children at an early and receptive age. It is very important on the part of the health department to carry out effective programmes on oral health for anganwadi workers. Journal of Chitwan Medical College 2013; 3(4); 6-8 DOI: http://dx.doi.org/10.3126/jcmc.v3i4.9545

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PAHO Panel On Women's Unpaid Health Care Work

PsycEXTRA Dataset ◽

10.1037/e319092004-001 ◽

2013 ◽

Cited By ~ 1

Author(s):

Keyword(s):

Health Care ◽

Care Work ◽

Health Care Work

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Dilemmas at a Primary Health Care Center: a baseline study for Computer-Supported Cooperative Health Care Work

Methods of Information in Medicine ◽

10.1055/s-0038-1634874 ◽

1992 ◽

Vol 31 (03) ◽

pp. 204-209 ◽

Cited By ~ 7

Author(s):

T. Timpka ◽

J. M. Nyce

Keyword(s):

Health Care ◽

Primary Health Care ◽

General Practitioners ◽

Group Process ◽

Critical Incident ◽

Care Work ◽

Work Activity ◽

Health Care Center ◽

Health Care Work ◽

Primary Health

Abstract:For the development of computer-supported cooperative health care work this study investigated, based upon activity theory, daily dilemmas encountered by the members of interprofessional primary health care work groups. The entire staff at four Swedish primary health care centers were surveyed, 199 personal interviews being conducted by the Critical Incident Technique. Medical dilemmas were mainly reported by general practitioners and nurses, organizational dilemmas by laboratory staff, nurses’ aides, and secretaries, and dilemmas in the patient-provider relation by nurses, nurses’ aides, and secretaries. Organizational and communication dilemmas reported by nurses, nurses’ aides, and secretaries often had their cause outside the control of the individual professional. These dilemmas were often “caused” by other group members (general practitioners or nurses), e.g., by not keeping appointment times or by not sharing information with patients. The implication for computer-supported cooperative health care work is that computer support should be planned on two levels. Collective work activity as a whole should benefit from individual clinical decision support for general practitioners and nurses. However, since most patient communication and organizational problems occurred at group level, group process support is required in these areas.

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