@article{ref1,
title="Pattern of workplace violence against doctors practising modern medicine and the subsequent impact on patient care, in India",
journal="PLoS one",
year="2020",
author="Kaur, Amandeep and Ahamed, Farhad and Sengupta, Paramita and Majhi, Jitendra and Ghosh, Tandra",
volume="15",
number="9",
pages="e0239193-e0239193",
abstract="INTRODUCTION: The incidents of violence against doctors, leading to grievous injury and even death, seem to be on an increasing trend in recent years. There is a paucity of studies on workplace violence against doctors and its effect, in India. The present study was conducted to assess workplace violence faced by doctors, its effect on the psycho-social wellbeing of the treating doctor and, subsequently, on patient management.   METHODS: The present nationwide cross-sectional study was conducted from November 2019 -April 2020. The sample size was calculated assuming the prevalence of workplace violence as 50%, with 20% non-response. Doctors, working in private and/or public set-up, with ≥1 year clinical experience, were included. A pre-tested study tool- Google form-was sent to study participants via social media platforms. The Microsoft Excel spreadsheet was downloaded from google drive and data was analysed using STATA-12 statistical software.   RESULTS: A total of 617 responses were received from doctors all over India; out of which 477 (77.3%) doctors had ever faced workplace violence. &quot;Actual or perceived non-improvement or deterioration of patient's condition&quot; (40.0%), followed by &quot;perception of wrong treatment given&quot; (37.3%) were the main causes of workplace violence; and the family members/relatives were the major perpetrators (82.2%). More than half of the participants reported &quot;loss of self-esteem&quot;, &quot;feeling of shame&quot; and &quot;stress/depression/anxiety/ideas of persecution&quot; after the incident. Management by surgical interventions (p-value<0.001) and handling of emergency/complicated cases (p-value<0.001) decreased significantly with an increase in severity of workplace violence; while the suggestion of investigations and referrals increased (p-value<0.001).   CONCLUSIONS: Workplace violence has a significant effect on the psycho-social well-being of doctors, as well as on patient management; which may escalate discontent and distrust among the general public, thereby increasing incidents of workplace violence-in a self-propagating vicious cycle.<p /> <p>Language: en</p>",
language="en",
issn="1932-6203",
doi="10.1371/journal.pone.0239193",
url="http://dx.doi.org/10.1371/journal.pone.0239193"
}