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dc.contributor.authorIfediora, Chris
dc.date.accessioned2017-08-28T23:51:40Z
dc.date.available2017-08-28T23:51:40Z
dc.date.issued2015
dc.identifier.issn1836-1935
dc.identifier.doi10.4066/AMJ.2015.2439
dc.identifier.urihttp://hdl.handle.net/10072/141760
dc.description.abstractBackground: Aggression against doctors involved in after-hours house calls (AHHC) is widely perceived to be high. It is, however, unclear how doctors who perform this service manage the risk of aggressive patients during home visits. Aims: The aim of this paper is to explore if and how doctors manage the risk of violence against them during AHHC. Methods: A survey was designed and administered to all 300 Australian-based doctors engaged in AHHC under the National Home Doctor Service (NHDS). The survey was conducted from September 2014 to November 2014. Results: There were 172 responses (57.3 per cent). Only 43 per cent of respondents adopted personal protective measures. The remaining 57 per cent had none; of those 6 per cent had never considered protective measures, and 31.8 per cent were aware of the risk of violence, but were unsure of what to do. Measures adopted include the use of chaperones/security personnel (34.1 per cent), dependence on surgery policies (31.2 per cent), de-escalation techniques (15.2 per cent), panic buttons (7.2 per cent), personal alarms (6.1 per cent), and others (6.5 per cent). Females were more likely to adopt personal protective measures than males (OR 4.94; p<0.01; CI 1.70–14.34), and Australian-trained doctors were less likely to do so relative to overseas-trained doctors (OR 0.35; p=0.04; CI 0.12–0.99). Conclusion: Just over half of the doctors involved in AHHC took no precautions against aggressive attacks while on duty, and nearly one-third relied on the policies of their employing surgeries.
dc.description.peerreviewedYes
dc.languageEnglish
dc.publisherAustralasian Medical Journal Pty. Ltd.
dc.publisher.placeAustralia
dc.relation.ispartofpagefrom239
dc.relation.ispartofpageto246
dc.relation.ispartofissue7
dc.relation.ispartofjournalAustralasian Medical Journal
dc.relation.ispartofvolume8
dc.subject.fieldofresearchPublic Health and Health Services not elsewhere classified
dc.subject.fieldofresearchClinical Sciences
dc.subject.fieldofresearchPublic Health and Health Services
dc.subject.fieldofresearchcode111799
dc.subject.fieldofresearchcode1103
dc.subject.fieldofresearchcode1117
dc.titleExploring the safety measures by doctors on after-hours house call services
dc.typeJournal article
dc.type.descriptionC1 - Articles
dc.type.codeC - Journal Articles
dc.description.versionPublished
gro.facultyGriffith Health, School of Medicine
gro.rights.copyright© The Author(s) 2015. The attached file is reproduced here in accordance with the copyright policy of the publisher. For information about this journal please refer to the journal’s website or contact the author[s].
gro.hasfulltextFull Text
gro.griffith.authorIfediora, Chris O.


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