ArticleAtencion primaria
[Analysis of patients violence in primary care].
Article in Atencion primaria. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.
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Who cites it
7 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.
- [Agression to health care personnel in Spain: a systematic review].Revista espanola de salud publica · 2019Pooled it
- Violence and abuse towards general practice staff by patients and the public: a scoping review.The British journal of general practice : the journal of the Royal College of General Practitioners · 2025Article
- National report on aggressions to physicians in Spain 2010-2015: violence in the workplace-ecological study.BMC research notes · 2018Observational
- Disruptive office behaviors in the medical setting: associations with other clinical phenomena.Innovations in clinical neuroscience · 2013Article
- Aggressive patient behaviors related to medical care: a cross-sectional self-report survey.The primary care companion for CNS disorders · 2011Article
- [Patient violence in a clinic frequented by tourists].Atencion primaria · 2006Article
- Evaluation of the users violence in primary health care: Adaptation of an instrument.International journal of clinical and health psychology : IJCHPArticle
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveMain aim: to determine the frequency of violence in primary care. Secondary aims: to analyse its causes, consequences and connection with professional burnout and reduced motivation.
designTransversal, descriptive study.
settingPrimary care.
participants68 primary care doctors from 4 districts in the province of Jaén (350, 19%). MAIN MEASUREMENTS: Self-administered questionnaire with an ad hoc design, sent out by mail and including personal and job details and doctors' views on the causes and consequences of burnout and violence, and the attitudes of the Andalusian Health Service (SAS) and professional bodies (overall reliability, Cronbach's alpha =.7898).
results58% had suffered aggression (85% verbal abuse, 67.5% threats, 12.5% physical aggression). Being attacked was linked with attributing the responsibility to the patients (odds ratio [OR]=7.6, 95% confidence interval [CI], 2.5-23), with doing extra shifts (OR=6.3; 95% CI, 1.2-33), rigidity (OR=3.5; 95% CI, 1.2-10.7), inadequate handling of emotive situations (OR=3.2; 95% CI, 1.1-9.2,) and incompetence (OR=5.2; 95% CI, 1.6-17). Violence scored the lowest as cause of burnout and was linked to the job being less rewarding (OR=2.9; 95% CI, 1.0-7.8). It was linked to irritation with the SAS (OR=2.8; 95% CI, 1.0-7.5) and fear of reduced motivation (OR=2.8; 95% CI, 1.0-7.5), with this latter being linked to loss of social prestige (P<.01), feeling low self-esteem (P<.01), and depression (P<.01).
conclusionsViolence is more common than in the figures given by the International Labour Organisation. It is associated with distrust, lack of communication in health care delivery and incompetence. It is the cause of burnout that is least appreciated and it is linked to the job being less rewarding and to greater fear of reduced motivation.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.