[External workplace violence against doctors in hospital services in Lima Metropolitana, Peru 2014].
OBJECTIVE
. To calculate the frequency and factors associated with external workplace violence (EWV) against doctors in health inpatient services in the metropolitan area of Lima (Spanish: Lima Metropolitana), Peru.


METHODS
. A cross-sectional analytic study, which included doctors from the Ministry of Health (MINSA), Social Security (EsSalud), and the private subsector, was carried out. The frequency of EWV was measured throughout the entire professional practice during the previous 12 months and during the last month. Variables related to the doctor, assailant, and health service were measured. Raw and adjusted prevalence ratios (PR) were calculated by means of a Poisson-family generalized linear model with non-parametric bootstrapping.


RESULTS
. A total of 406 doctors participated; 31.5% were victims of EWV at least once during their professional practice, with 19.9% over the past 12 months and 7.6% during the last month. The chances of being threatened in the last 12 months increased if the doctor was male (adjusted PR [aPR]: 1.7; 95% confidence interval [CI] = 1.1- 2.8), had graduated from a Peruvian university outside of the metropolitan area of Lima (aPR: 1.5; 95% CI = 1.1-2.4), worked at MINSA (aPR: 7.9; 95% CI = 2.24-50.73) or EsSalud (RR: 8.68; 95% CI = 2.26-56.17), and worked in the emergency (aPR: 1.9; 95% CI = 1.2-3.6) or operating room (aPR: 1.6; 95% CI = 1.1-2.3). Age, years of professional practice, or being a medical resident were not associated with EWV.


CONCLUSIONS
. In the hospitals studied, a large number of doctors have been victims of EWV. Working in public services increases the possibility of violence. Implementation of support, identification, and primary prevention strategies in hospitals is recommended.
Escuela de Medicina, Universidad Peruana de Ciencias Aplicadas. Lima, Perú.
Ximena
X
Tuya-Figueroa
Escuela de Medicina, Universidad Peruana de Ciencias Aplicadas. Lima, Perú.|Intendencia de Investigación y Desarrollo, Superintendencia Nacional de Salud. Lima, Perú.
Edward
E
Mezones-Holguin
Escuela de Medicina, Universidad Peruana de Ciencias Aplicadas. Lima, Perú.|Servicio de Gastroenterología, Hospital Nacional Daniel Alcides Carrión. Callao, Perú.
Eduardo
E
Monge
Escuela de Medicina, Universidad Peruana de Ciencias Aplicadas. Lima, Perú.|Servicio de Cirugía, Hospital Nacional Dos de Mayo. Lima, Perú.
Ricardo
R
Arones
Escuela de Medicina, Universidad Peruana de Ciencias Aplicadas. Lima, Perú.|Servicio de Medicina, Hospital Nacional Arzobispo Loayza. Lima, Perú.
Milagros
M
Mier
Escuela de Medicina, Universidad Peruana de Ciencias Aplicadas. Lima, Perú.|Servicio de Pediatría, Hospital Nacional Edgardo Rebagliati Martins. Lima, Perú.
Mercedes
M
Saravia
Escuela de Medicina, Universidad Peruana de Ciencias Aplicadas. Lima, Perú.|Clínica Internacional, Lima, Perú.
Jose
J
Torres
Escuela de Medicina, Universidad Peruana de Ciencias Aplicadas. Lima, Perú.
Percy
P
Mayta-Tristán
D000328:Adult; D000368:Aged; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010568:Peru; D010820:Physicians; D015995:Prevalence; D017132:Workplace; D064450:Workplace Violence