AI Summary & Key Takeaways
AI InsightAccordingly, improving interpersonal communication, strengthening institutional functioning and addressing structural problems related to health policy are identified as the primary areas for solution.
📌 3 Key Takeaways
Abstract
Violence in healthcare is a multidimensional problem shaped at the intersection of individual, institutional and structural dynamics. In the health management literature, the phenomenon of violence is predominantly examined through single-level analyses, while studies that simultaneously investigate the perspectives of different actors remain limited. Drawing on interviews with thirty patients and their relatives, thirty physicians and ten senior managers, this study examines the causes of violence in healthcare institutions and proposes solutions for Turkish public health system. The study analyses the findings obtained through semi-structured interviews using a multilevel analytical framework across micro, meso and macro levels. At the micro level, interpersonal communication problems, unmet expectations, inadequate information provision and negative interaction experiences are identified as key factors that increase the potential for violence between service providers and recipients. At the meso level, institutional and organisational factors become more visible, with administrative problems, insufficient institutional coordination, infrastructural constraints and delays in healthcare delivery deepening tensions within healthcare institutions. At the macro level, systemic pressures such as high patient volumes, heavy workloads and low health literacy are regarded as structural factors that fuel violence. Accordingly, improving interpersonal communication, strengthening institutional functioning and addressing structural problems related to health policy are identified as the primary areas for solution.