302例暴力伤医案件的多要素分析

Multi-Factor Analysis of 302 Cases of Violent Injury to Doctors

摘要: 目的：探讨302例暴力伤医案件的发生规律，挖掘案件现象的深层原因，以期为医疗部门防控暴力伤医案件提供参考，也为医学教育部门教育医学生有所启示。方法：通过法律裁判文书检索，结合权威媒体相关报道，利用WPS云文档和Excel 2019对搜集到的302例暴力伤医案例进行归纳整理，分析其时间地域分布、涉事医院等级、多发科室、受害者职业等多种因素。结论：在302例暴力伤医案件中，地域分布规律大都发生在我国中部、东部和东南沿海地区；时间分布规律是上半年为多发时期，晚上为其高发时段；涉事医院等级以三级为主；伤医多发科室以急诊科为首；受害者以医护人员为主；伤医案件诱因中患者不合理要求及对医疗效果存在过高预期占比一半以上。

Abstract: Objective: To explore the law of the occurrence of the 302 cases of violent injury to doctors, to dig out the underlying causes of the phenomenon of the cases, to provide reference for the prevention and control of violent injury to doctors in medical departments, and to provide some inspiration for the education of medical students in medical education departments. Methods: Through the retrieval of legal judgment documents, combined with relevant reports of authoritative media, the WPS cloud document and Excel 2019 were used to summarize and organize the 302 cases of violent medical injury, and analyze the time and region distribution, the grade of the hospital involved, multiple departments, the occupation of the victim and other factors. Conclusion: Among the 302 cases of medical violence, most of them occurred in central, eastern and southeastern coastal areas of China. The time distribution is characterized by the most frequent periods in the first half of the year and the most frequent periods in the evening. The grade of the hospital involved is mainly tertiary. The emergency department is the leading one. The irrational request and excessive expectations of the patients for medical treatment have more than 50 percentages of causes.