Catalogo Articoli (Spogli Riviste)

OPAC HELP

Titolo:
Beyond screening for domestic violence - A systems model approach in a managed care setting
Autore:
McCaw, B; Berman, WH; Syme, SL; Hunkeler, EF;
Indirizzi:
Kaiser Permanente Med Ctr, Dept Internal Med, Richmond, CA 94801 USA Kaiser Permanente Med Ctr Richmond CA USA 94801 d, Richmond, CA 94801 USA Echo Grp, Mamaroneck, NY USA Echo Grp Mamaroneck NY USAEcho Grp, Mamaroneck, NY USA Fordham Univ, Dept Psychol, Bronx, NY 10458 USA Fordham Univ Bronx NY USA10458 m Univ, Dept Psychol, Bronx, NY 10458 USA Univ Calif Berkeley, Sch Publ Hlth, Berkeley, CA 94720 USA Univ Calif Berkeley Berkeley CA USA 94720 bl Hlth, Berkeley, CA 94720 USA Kaiser Permanente Med Care Program, Div Res, Oakland, CA 94611 USA Kaiser Permanente Med Care Program Oakland CA USA 94611 and, CA 94611 USA
Titolo Testata:
AMERICAN JOURNAL OF PREVENTIVE MEDICINE
fascicolo: 3, volume: 21, anno: 2001,
pagine: 170 - 176
SICI:
0749-3797(200110)21:3<170:BSFDV->2.0.ZU;2-7
Fonte:
ISI
Lingua:
ENG
Soggetto:
INTIMATE PARTNER VIOLENCE; CONTINUING MEDICAL-EDUCATION; PREVENTIVE CARE; WOMEN; PHYSICIANS; BARRIERS; IMPLEMENTATION; INTERVENTIONS; PROVIDERS; IMPACT;
Keywords:
community-institutional relations; domestic violence; models, organizational; patient satisfaction; referral and consultation; spouse abuse; women's health services;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
33
Recensione:
Indirizzi per estratti:
Indirizzo: McCaw, B Kaiser Permanente Med Ctr, Dept Internal Med, 901 Nevin Ave, Richmond, CA 94801 USA Kaiser Permanente Med Ctr 901 Nevin Ave Richmond CA USA 94801 USA
Citazione:
B. McCaw et al., "Beyond screening for domestic violence - A systems model approach in a managed care setting", AM J PREV M, 21(3), 2001, pp. 170-176

Abstract

Background; Implementation of screening guidelines for domestic violence has been challenging. The multifaceted "systems model" may provide an effective means to improve domestic violence screening, identification, and intervention in the healthcare setting. Methods: We developed: (1) a systems model approach using tools for effective referral, evaluation, and reporting of domestic violence; (2) materialsfor distribution to female patients; (3) training for social service and mental health clinicians to provide domestic violence evaluation; and (4) strong links to the community. Setting: A nonprofit, managed care facility in Richmond, California. Participants: Staff and members of the managed care plan. Main Outcome Measures: (1) Increased screening for domestic violence by clinicians; (2) increased awareness of the healthcare facility as a resource for domestic violence assistance; and (3) increased member satisfaction with the health plan's efforts to address domestic violence. Results: The number of clinician referrals and patient self-referrals to an on-site domestic violence evaluator increased more than twofold. A pre-intervention and post-intervention phone survey of members seen for routine checkup showed an increase in member recall of being I asked about domestic violence. After intervention, statistically significant increases were seenin members' perception that the health plan was concerned about the healtheffects of domestic violence (p <0.0001) and about members' satisfaction with the health plan's efforts to address this issue (p <0.0001). Conclusions: A systems model approach improved domestic violence services in a managed care health setting within I year and affected clinicians' behavior as well as health plan members' experience. This successful implementation makes it possible to address critical research questions about the impact of a healthcare intervention for victims of domestic violence in a managed healthcare setting.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 30/05/20 alle ore 14:00:04