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Titolo:
Identification and management of domestic violence - A randomized trial
Autore:
Thompson, RS; Rivara, FP; Thompson, DC; Barlow, WE; Sugg, NK; Maiuro, RD; Rubanowice, DM;
Indirizzi:
Grp Hlth Cooperat Puget Sound, Dept Prevent Care, Seattle, WA 98101 USA Grp Hlth Cooperat Puget Sound Seattle WA USA 98101 Seattle, WA 98101 USA Grp Hlth Cooperat Puget Sound, Ctr Hlth Studies, Seattle, WA 98101 USA GrpHlth Cooperat Puget Sound Seattle WA USA 98101 Seattle, WA 98101 USA Univ Washington, Harborview Med Ctr, Harborview Injury Prevent & Res Ctr, Seattle, WA 98104 USA Univ Washington Seattle WA USA 98104 ent & Res Ctr, Seattle, WA 98104 USA Univ Washington, Pioneer Sq Clin, Seattle, WA 98195 USA Univ Washington Seattle WA USA 98195 oneer Sq Clin, Seattle, WA 98195 USA Univ Washington, Harborview Med Ctr, Seattle, WA 98104 USA Univ Washington Seattle WA USA 98104 rview Med Ctr, Seattle, WA 98104 USA
Titolo Testata:
AMERICAN JOURNAL OF PREVENTIVE MEDICINE
fascicolo: 4, volume: 19, anno: 2000,
pagine: 253 - 263
SICI:
0749-3797(200011)19:4<253:IAMODV>2.0.ZU;2-6
Fonte:
ISI
Lingua:
ENG
Soggetto:
PRIMARY-CARE PHYSICIANS; BATTERED WOMEN; PUBLIC-HEALTH; CLINICAL CHARACTERISTICS; PREVENTION SERVICES; CHILDHOOD ABUSE; FAMILY VIOLENCE; PREGNANT-WOMEN; PARTNER ABUSE; EMERGENCY;
Keywords:
domestic violence; primary health care; intervention studies; patient care team;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
91
Recensione:
Indirizzi per estratti:
Indirizzo: Thompson, RS Grp Hlth Cooperat Puget Sound, Dept Prevent Care, 1730 Minor Ave,Suite 1600, Seattle, WA 98101 USA Grp Hlth Cooperat Puget Sound 1730 Minor Ave,Suite 1600 Seattle WA USA 98101
Citazione:
R.S. Thompson et al., "Identification and management of domestic violence - A randomized trial", AM J PREV M, 19(4), 2000, pp. 253-263

Abstract

Background: Diagnosis of domestic violence (DV) in primary care is low compared to its prevalence. Care for patients is deficient. Over a 1-year period, we tested the effectiveness of an intensive intervention to improve asking about DV, case finding, and management in primary care. The intervention included skill training for providers, environmental orchestration (posters in clinical areas, DV questions on health questionnaires), and measurement and feedback. Methods: We conducted a group-randomized controlled trial in five primary care clinics of a large health maintenance organization (HMO). Outcomes were assessed at baseline and followup by survey, medical record review, and qualitative means. Results: Improved provider self-efficacy, decreased fear of offense and safety concerns, and increased perceived asking about DV were documented at 9months, and also at 21 months (except for perceived asking) after intervention initiation. Documented asking about DV was increased by 14.3% with a 3.9-fold relative increase at 9 months in intervention clinics compared to controls. Case finding increased 1.3-fold (95%, confidence interval 0.67-2.7). Conclusions: The intervention improved documented asking about DV in practice up to 9 months later. This was mainly because of the routine use of health questionnaires containing DV questions at physical examination visits and the placement of DV posters in clinical areas. A small increase in case finding also resulted. System changes appear to be a cost-effective method to increase DV asking and identification.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 05/04/20 alle ore 00:11:55