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Workplace violence against physicians in a large Brazilian urban center: epidemiology, training, and labor market

Wei-Cheng WANG, Ju-Chien JENG and Po-Tsung HUANG

Medical professionals encounter various occupational hazards, such as workplace violence. To help address these challenges, medical education aims to foster a professional practice grounded in strong interpersonal relationships and a comprehensive, integrative understanding of health.Given the scarcity of studies examining reports of workplace violence in the medical field, this cross-sectional study aimed to determine the prevalence of physical, psychological, and sexual violence among medical professionals working in the city of São Paulo in 2023.This cross-sectional, quantitative, descriptive, and retrospective study included all 122 medical professionals who experienced violence and whose cases were reported in the Information System for Violence and Accident Surveillance (SIVVA) of the São Paulo Municipal Health Department. SIVVA documents incidents of accidents and violence using standardized notification forms for both suspected and confirmed cases. Data collection covered the period from January to December 2023.In 2023, a total of 122 cases of work-related violence against medical professionals were reported in the city of São Paulo. Regarding the sex of the victims, 36.1% were male and 63.9% were female. Third parties were responsible for 98.4% of the violent incidents, while 1.6% were self-inflicted. As for the type of violence, 22.9% was physical, 75.5% psychological, and 1.6% sexual.The daily work routine is often marked by episodes of violence, which bring implications for the organization of work: absence from work, resignation, impacts on the quality of care, and an increase in service demands. It is important that, in this context where users needs are recognized, the professional team carries out health practices that foster welcoming care.In the city of São Paulo, during 2023, a total of 122 cases of violence against physicians during their professional activities were reported. The physicians who were victims of violence were predominantly young women, and the most frequent type of violence was psychological. Among the reported cases of violence against medical professionals, 51.6% were not accompanied by an official Work Accident Report (CAT). Professionalism represents a key component in medical education, contributing to the qualification of healthcare professionals and the strengthening of public health policies.