改善社区卫生诊所对家庭暴力的查和跟踪
Katherine Collins1, Silviya Kochuparambil Sebastian2, Gwyneth Franck2
1The University of Wisconsin Madison School of Nursing, USA.
Journal of primary care & community health
|July 28, 2023
概括
在社区诊所实施家庭暴力 (DV) 查工具和后续协议,改善了查率和患者的治疗结果. 解决员工障碍是该计划成功的关键.
科学领域:
- 公共卫生 公共卫生
- 医疗保健管理的管理
- 临床干预 临床干预
背景情况:
- 家庭暴力 (DV) 构成了重大的公共卫生挑战.
- 有效的查和随访协议对于在医疗保健机构中识别和支持幸存者至关重要.
- 现有的协议可能会面临医疗人员一致实施的障碍.
研究的目的:
- 在郊区社区卫生诊所实施和评估改进的DV查和随访协议.
- 评估工作人员对适当的女性患者的一致使用该协议.
- 识别和解决提供者和工作人员对DV查和后续行动的障碍.
主要方法:
- 在社区卫生诊所采用了干预前后研究设计.
- 干预包括对所有合适的女性患者使用HITS DV查工具,并实施基于算法的后续护理计划.
- 提供者/员工障碍调查在基线和干预后进行,并与临床介绍一起进行.
主要成果:
- 符合条件的患者查从基线到干预增加了3.1%.
- 查DV阳性患者的数量从0增加到1.
- 供应商/员工障碍调查得分在所有问题上都有所改善,在3个领域有显著改善. 实施的算法用于积极查.
结论:
- 一个经过验证的DV查工具,对后续护理的系统算法,以及解决人员障碍对于成功的DV查计划至关重要.
- 该研究表明,在社区诊所环境中改进DV查和随访协议的可行性和积极影响.
- 解决提供商和员工障碍对于持续有效实施DV查倡议至关重要.
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