Medicine, Conflict and Survival最新文献

Workplace violence against physicians is a significant issue within the Turkish healthcare system, demanding comprehensive insights to inform targeted interventions. This phenomenological study explores the experiences of four manager-physicians, selected through purposive sampling based on specific criteria, such as a minimum of 25 years of experience and current managerial roles, through two rounds of in-depth, semi-structured interviews. The findings are categorized into manifestations of violence, underlying factors, and proposed preventive strategies. The results indicate that workplace violence often manifests as verbal abuse and physical aggression, primarily influenced by hospital overcrowding, patient entitlement, and insufficient communication training for physicians. The four participants noted that preventive measures could include strict legal consequences for perpetrators, stronger physician unions, and comprehensive communication training. Despite the limitations, such as the small sample size in a closed community in a relatively small town, this study contributes to theoretical understandings of workplace violence by linking these findings to the broader context of conflict in healthcare. The actionable recommendations highlight specific strategies that healthcare institutions and policymakers can implement to create a safer, more supportive environment for healthcare providers and patients.

The movement of refugees across borders has become a persistent feature of contemporary global society. Despite the protections offered by the 1951 Refugee Convention, which has been ratified by some 146 states, countries in the Global North have adopted a variety of contradictory and incoherent policy responses to refugees and migrants. These responses have been influenced by anti-immigrant public sentiment and growing popular demands to restrict and manage cross-border movements. The dynamics and dilemmas of contemporary refugee movements and policy responses create challenges for advocates and practitioners. Refugee policies have been complicated by the phenomenon of 'mixed migration', where migratory patterns reflect the intersection of economic choices and forced migration. Within this context, we propose that policies of many prosperous countries, which thus far focus almost exclusively on restriction, be guided by considerations of shared responsibility and human dignity.

Rates of global conflict have increased by over 40% from 2020 to 2023, increasing the demands on healthcare systems and impacting healthcare training, education and workforce. There is a need for innovative educational support from the international community. Distance education is a sustainable avenue that is not as contingent on travel, political, or financial restrictions. We sought to undertake a preliminary scoping exercise of the issues involved in delivering distance medical teaching to conflict zones, by reviewing examples in the literature and interviewing key stakeholders in this field. We found that there was need and scope to deliver specific, case-based, non-practical teaching, and to re-connect medical personnel with the international community and research. We propose recommendations to achieve this: directing purpose according to learner needs, evaluations and care outcomes; maintaining patient confidentiality and anonymity; supplementing, rather than undermining, existing educational infrastructures; co-ordinating with relevant stakeholders and expatriates, whilst maintaining neutrality; and consider the use of pre-existing, low-cost online scripts and social media platforms, as well as non-live, low-bandwidth modes of technology.