title: [A comparative study of aggression towards Primary Care and Hospital Health professionals in a Madrid health area (2009-2014)].
abstract: BACKGROUND
  The aim of this paper is perform an analysis on the incidents and attacks against medical personnel that occurred in the area covered by the Prevention Service Group, comparing the results in Primary Care (PC) with Hospital Care (HC).
  
  
  METHODS
  The information available in the database of the regional Madrid Register of Aggressions Conflict Health Worker between 2009 and 2014 was analysed. This included a total of 8,056 workers, of whom 1,605 were from PC.
  
  
  RESULTS
  A total of 1,262 incidents have been reported, of which 61.2% took place in HC and 38.8% in PC (32.2 notifications/100,000 inhabitants, or 12.88 incidents/100 hospital workers compared to 168.98 notifications/100,000 inhabitants, or 30.53 incidents/100 PC workers). Nurses in CP have a higher incidence of assaults (47.4%), while in HC it is the physicians (53.1%) (P<.001). In PC the aggressor is usually the patient (56.9%), while in HC it is the relative or companion (45.3%) (P<.001). HC aggressions occur more frequently in emergency departments (35.5%) compared with 63.9% in PC, where they occur in the consulting room (P<.001).
  
  
  CONCLUSIONS
  Although it is difficult to make comparisons with previous studies due to methodological differences, a higher incidence of aggression in PC is observed compared with HC. It is necessary to establish improvements in Madrid Register of Aggressions and Conflicts, designed to optimise data quality and use them for preventive purposes.
authors.affiliation: Servicio de Prevención Mancomunado de Grupo, Hospital Universitario Infanta Leonor, Madrid, España.
authors.forename: M
authors.initials: M
authors.lastname: de-San-Segundo
authors.affiliation: Unidad de Medicina Preventiva, Hospital Universitario Infanta Cristina, Parla, Madrid, España.
authors.forename: J J
authors.initials: JJ
authors.lastname: Granizo
authors.affiliation: Servicio de Prevención Mancomunado de Grupo, Hospital Universitario Infanta Leonor, Madrid, España.
authors.forename: I
authors.initials: I
authors.lastname: Camacho
authors.affiliation: Servicio de Prevención Mancomunado de Grupo, Hospital Universitario Infanta Leonor, Madrid, España.
authors.forename: M J
authors.initials: MJ
authors.lastname: Martínez-de-Aramayona
authors.affiliation: Servicio de Prevención Mancomunado de Grupo, Hospital Universitario Infanta Leonor, Madrid, España.
authors.forename: M
authors.initials: M
authors.lastname: Fernández
authors.affiliation: Servicio de Prevención Mancomunado de Grupo, Hospital Universitario Infanta Leonor, Madrid, España. Electronic address: masanchezu@salud.madrid.org.
authors.forename: M Á
authors.initials: MÁ
authors.lastname: Sánchez-Úriz
mesh_terms: D000328:Adult; D000374:Aggression; D019992:Databases as Topic; D004636:Emergency Service, Hospital; D005260:Female; D006282:Health Personnel / Q000706:statistics & numerical data*; D006761:Hospitals / Q000706:statistics & numerical data; D006801:Humans; D015994:Incidence; D008297:Male; D008875:Middle Aged; D011320:Primary Health Care / Q000706:statistics & numerical data; D013030:Spain; D064450:Workplace Violence / Q000706:statistics & numerical data*
keywords: Agresiones; Assaults; Health professionals; Profesionales sanitarios; REMAC