RESUMO
OBJECTIVE: The number of aggressions towards health care professionals has risen over the past few years. There are no previous studies in primary care covering an entire region and to all professional categories. The aim of this study was to characterize aggressions in Primary Care in the Community of Madrid. METHODS: Multicenter cross-sectional study. Analysis of a Registration System that reports any type of aggression suffered by Primary Care workers, in the Community of Madrid. The study variables included sociodemographic characteristics of the aggressor and the victim, the type of aggression (verbal or physical abuse), its causes and consequences. We described median, intercuartilic range and frequencies. Logistic regression was performed calculating odds ratio and their 95% confidence intervals. RESULTS: 1,157 assaults were reported, 53.07% suffered by doctors. Physical assault occurred in 4.7% of the cases. The main reason was dissatisfaction with the care (36.1%). The non-medical staff showed less risk of being physically assaulted (OR: 0.38; CI95%: 0.17-0.86). The perpetrator profile was male (56.8%), aged between 31-40 (26.8%) years. Health care victim profile was female (84%), aged between 45-60 years. 10% of professionals reported some form of aggression, 5,9% of aggression were submitted to court. CONCLUSIONS: The risk of assault is higher in health personnel, particularly physicians. There were significant differences by gender and age, both in the profile of the aggressor and the victim.
Assuntos
Exposição à Violência/estatística & dados numéricos , Pessoal de Saúde , Abuso Físico/estatística & dados numéricos , Atenção Primária à Saúde , Violência no Trabalho/estatística & dados numéricos , Adulto , Idoso , Idoso de 80 Anos ou mais , Estudos Transversais , Exposição à Violência/psicologia , Feminino , Humanos , Modelos Logísticos , Masculino , Pessoa de Meia-Idade , Razão de Chances , Satisfação do Paciente , Abuso Físico/psicologia , Sistema de Registros , Estudos Retrospectivos , Fatores de Risco , Espanha , Violência no Trabalho/psicologiaRESUMO
Fundamentos: Las agresiones de usuarios a los profesionales de Atención Primaria se han incrementado en los últimos años. No existen estudios previos en atención primaria que abarquen toda una Comunidad Autónoma y todas las categorías profesionales. El objetivo del estudio fue caracterizar la violencia en atención primaria de la Comunidad de Madrid. Métodos: Estudio descriptivo multicéntrico de las notificaciones de agresiones sufridas por los profesionales de Atención Primaria de la Comunidad de Madrid. Las variables del estudio incluyeron características sociodemográficas de las personas agresoras y de las agredidas, el tipo de agresión, sus causas y consecuencias. Se calcularon la mediana, el rango intercuartílico y las frecuencias. Se realizó un análisis de regresión logística calculando las OR y sus IC95%. Resultados: En el periodo de estudio se notificaron 1.157 agresiones, el 53,07% las notificaron médicos. En el 4,7% de los casos hubo agresión física. El principal motivo fue la disconformidad con la atención recibida (36,1%). El personal no sanitario mostró menos riesgo de ser agredido físicamente que el personal sanitario (OR: 0,38; IC95%: 0,17-0,86). La agresión fue cometida por un hombre en el 56,8% de los casos y del grupo de edad entre 31-40 años en el 26,8%. La persona agredida fue mujer en el 84% de los casos, con una edad comprendida entre 45-60 años. El 10% de los profesionales notificaron las agresiones y el 5,9% la denunció. Conclusiones: El riesgo de sufrir agresión es mayor en el personal sanitario, especialmente médicos. Tanto en el perfil de las personas agresoras como de las agredidas se detectaron diferencias significativas por sexo y edad (AU)
Background: The number of aggressions towards health care professionals has risen over the past few years. There are no previous studies in primary care covering an entire region and to all professional categories. The aim of this study was to characterize aggressions in Primary Care in the Community of Madrid. Methods: Multicenter cross-sectional study. Analysis of a Registration System that reports any type of aggression suffered by Primary Care workers, in the Community of Madrid. The study variables included sociodemographic characteristics of the aggressor and the victim, the type of aggression (verbal or physical abuse), its causes and consequences. We described median, intercuartilic range and frequencies. Logistic regression was performed calculating odds ratio and their 95% confidence intervals. Results: 1,157 assaults were reported, 53.07% suffered by doctors. Physical assault occurred in 4.7% of the cases. The main reason was dissatisfaction with the care (36.1%). The non-medical staff showed less risk of being physically assaulted (OR: 0.38; CI95%: 0.17-0.86). The perpetrator profile is male (56.8%), aged between 31-40 (26.8%) years. Health care victim profile was female (84%), aged between 45-60 years. 10% of professionals reported some form of aggression, 5,9% of aggression were submitted to court. Conclusions. The risk of assault is higher in health personnel, particularly physicians. There are significant differences by gender and age, both in the profile of the aggressor and the victim (AU)
