{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T08:24:45Z","timestamp":1740126285364,"version":"3.37.3"},"reference-count":31,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2017,12,28]],"date-time":"2017-12-28T00:00:00Z","timestamp":1514419200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Evaluation Clinical Practice"],"published-print":{"date-parts":[[2018,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Rationale, aims, and objectives<\/jats:title><jats:p>Minimizing the risks and distress arising from aggression in after\u2010hours house call (AHHC) services will help improve service quality in the industry. Unfortunately, no national study has ever evaluated this in Australian AHHCs. Apart from reducing this gap, findings from this work will have global relevance given the rising popularity of the AHHC industry worldwide.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A survey of all 300 doctors employed by the National Home Doctor Service, Australia's largest AHHC service provider. A validated electronic questionnaire was used to examine the doctors' experiences over a 12\u2010month period.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>There were 168 valid responses (56% response rate). Aggression prevalence was 47.1%, and just over half (51.8%) of the cases came from the patients. \u201cVerbal aggression\u201d was the commonest (48.3%). Others are \u201cthreats\u201d (26.6%), \u201cvexatious complaints\u201d (13.3%), \u201cproperty damage\u201d (4.2%), \u201cphysical violence\u201d (4.2%), \u201csexual harassment\u201d (2.8%), and \u201cstalking\u201d (0.7%). Majority of the respondents were concerned (90.2%) and apprehensive (75.2%) regarding the risks.<\/jats:p><jats:p>Doctors who have experienced aggression were more likely to express apprehension (OR\u00a0=\u00a03.99; CI\u00a0=\u00a01.54\u201310.31; <jats:italic>P<\/jats:italic>\u00a0=\u00a00.004), while those that have attained Postgraduate Fellowships (Vocationally Registered) were less likely to report experiences of aggression (OR\u00a0=\u00a00.28; CI\u00a0=\u00a00.09\u20130.84; <jats:italic>P<\/jats:italic>\u00a0=\u00a00.02).<\/jats:p><jats:p>Even though a higher proportion of females were concerned (92.3% vs 89.6%) and apprehensive (82.1% vs 73.6%) compared with males, these differences were not statistically significant (Fisher's Exact Tests: <jats:italic>P<\/jats:italic>\u00a0=\u00a01.000 and 0.469, respectively).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Aggression in Australian AHHC affects nearly 1\u2010in\u20102 practitioners, with high levels of concern and apprehension being expressed. Concerned companies should do more to ensure that their doctors attain PG fellowships, as this is linked to lower reports of aggression. Where possible, family and friends need to be involved in patient care, as nearly half of the reported aggressions come from them.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jep.12868","type":"journal-article","created":{"date-parts":[[2017,12,28]],"date-time":"2017-12-28T08:12:50Z","timestamp":1514448770000},"page":"388-395","source":"Crossref","is-referenced-by-count":6,"title":["Evaluation of aggression in Australian after\u2010hours doctor home\u2010visit services"],"prefix":"10.1111","volume":"24","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9194-1740","authenticated-orcid":false,"given":"Chris O.","family":"Ifediora","sequence":"first","affiliation":[{"name":"School of Medicine Griffith University, Gold Coast Campus  Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2017,12,28]]},"reference":[{"issue":"6","key":"e_1_2_8_2_1","first-page":"3","article-title":"The occupational violence experiences of 400 Australian health workers: an exploratory study","volume":"19","author":"Mayhew C","year":"2003","journal-title":"J Occup Health Saf, Australia and New Zealand"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.avb.2013.07.014"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijlp.2007.06.006"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1440-1584.2003.00525.x"},{"issue":"1237","key":"e_1_2_8_6_1","article-title":"Aggressive acts by patients against general practitioners in New Zealand: one\u2010year prevalence","volume":"119","author":"Gale C","year":"2006","journal-title":"N Z Med J"},{"issue":"1","key":"e_1_2_8_7_1","doi-asserted-by":"crossref","first-page":"3","DOI":"10.3912\/OJIN.Vol18No01Man03","article-title":"Measurement and monitoring of health care worker aggression exposure","volume":"18","author":"Iennaco JD","year":"2013","journal-title":"Online J Issues Nurs"},{"issue":"1","key":"e_1_2_8_8_1","first-page":"91","article-title":"After hours care: a qualitative study of GPs' perceptions of risk of violence and effect on service provision","volume":"34","author":"Magin P","year":"2005","journal-title":"Aust Fam Physician"},{"key":"e_1_2_8_9_1","unstructured":"KeneallyB.The case for improved access to after hours services2016[updated 2016\u201003\u201020; cited201717th October]. 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