• Teresa Rincón-Del Toro, Adela Villanueva-Guerra, Ricardo Rodríguez-Barrientos, Elena Polentinos-Castro, Mª José Torijano-Castillo, Emilia de Castro-Monteiro, Blanca Escrivá de Romaní de Gregorio, Margarita Barba Calderón, María Soledad de Frías Redondo, Nury Alejo Brú, Concepción Blanco Morales, Margarita Vázquez Pinilla, Cristina Besora Altés, Julio Heras-Mosteiro, Juan Ángel Infantes Rodríguez, Pilar Bustamante Fernández, and Victorina de Blas Salvador.
• Unidad de Atención al Paciente. Gerencia Asistencial de Atención Primaria. Madrid. España.trincon@salud.madrid.org.
• Rev Esp Salud Publica. 2016 Oct 25; 90: e1-e12.

ObjectiveThe number of aggressions towards health care professionals has risen over the past few years. There are no previous studies in primary care covering an entire region and to all professional categories. The aim of this study was to characterize aggressions in Primary Care in the Community of Madrid.MethodsMulticenter cross-sectional study. Analysis of a Registration System that reports any type of aggression suffered by Primary Care workers, in the Community of Madrid. The study variables included sociodemographic characteristics of the aggressor and the victim, the type of aggression (verbal or physical abuse), its causes and consequences. We described median, intercuartilic range and frequencies. Logistic regression was performed calculating odds ratio and their 95% confidence intervals.Results1,157 assaults were reported, 53.07% suffered by doctors. Physical assault occurred in 4.7% of the cases. The main reason was dissatisfaction with the care (36.1%). The non-medical staff showed less risk of being physically assaulted (OR: 0.38; CI95%: 0.17-0.86). The perpetrator profile was male (56.8%), aged between 31-40 (26.8%) years. Health care victim profile was female (84%), aged between 45-60 years. 10% of professionals reported some form of aggression, 5,9% of aggression were submitted to court.ConclusionsThe risk of assault is higher in health personnel, particularly physicians. There were significant differences by gender and age, both in the profile of the aggressor and the victim.

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