DISCRIMINATION AND ABUSE EXPERIENCED BY GENERAL INTERNISTS IN CANADA

被引:35
作者
COOK, DJ [1 ]
GRIFFITH, LE [1 ]
COHEN, M [1 ]
GUYATT, GH [1 ]
OBRIEN, B [1 ]
机构
[1] MCMASTER UNIV,FAC HLTH SCI,DEPT MED,HAMILTON,ON L8N 3Z5,CANADA
关键词
GENERAL INTERNAL MEDICINE; STRESS; GENDER; DISCRIMINATION; ABUSE; SEXUAL HARASSMENT; HOMOPHOBIA; PSYCHOLOGICAL ABUSE;
D O I
10.1007/BF02640367
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
OBJECTIVE: To identify the frequency of psychological and emotional abuse, gender discrimination, verbal sexual harassment, physical sexual harassment, physical assault, and homophobia experienced by general internists. DESIGN: Cross-sectional survey. SETTING: Canadian general internal medicine practices. RESULTS: The overall response rate was 70.6% (984/1,393); the 501 respondents who classified themselves as general internists were studied, Three-fourths of the Internists experienced psychological and emotional abuse at the hands of patients, and 38% of the women and 26% of the men experienced physical assault by patients. The majority of the female internists experienced gender discrimination by patients (67%) and by physician peers (56%), Forty-five percent of the women experienced verbal sexual harassment by patients, and 22% experienced physical sexual harassment by patients, The male internists experienced verbal sexual harassment from nurses slightly more often than the female internists did (19% vs 13%, p > 0.05). Verbal sexual harassment by male colleagues was reported by 35% of the female internists, and physical sexual harassment was reported by 11%. Approximately 40% of general internists reported homophobic remarks by both health care team members and patients. CONCLUSIONS: Abuse, discrimination, and homophobia are prevalent in the internal medicine workplace. A direct, progressive, multidisciplinary approach is necessary to label and address these problems.
引用
收藏
页码:565 / 572
页数:8
相关论文
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