一个新兴的医院暴力干预计划的实施:一个多方法研究
Christopher S Schenck1, James Dodington2,3, Lucero Paredes4
1Department of Medicine, Yale School of Medicine, New Haven, Connecticut, USA.
Trauma surgery & acute care open
|November 29, 2023
概括
基于医院的暴力干预计划 (HVIP) 显示出减少暴力重伤的潜力. 吸引可信的信使和解决警方担忧是提高这些计划覆盖率和有效性的关键.
科学领域:
- 创伤外科 手术 创伤外科
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 攻击性枪支伤害的幸存者面临着重伤和不良健康结果的高风险.
- 基于医院的暴力干预计划 (HVIP) 提供密集的病例管理,以减轻这些风险.
研究的目的:
- 使用RE-AIM框架评估一个新兴的HVIP.
- 评估招聘,暴力重伤结果和服务提供.
- 确定HVIP招生和有效性的促进者和障碍.
主要方法:
- 多种方法的评估,包括定性访谈和临床医生调查.
- 从2020-2022年对319名符合HVIP资格的个人进行分析.
- 应用RE-AIM框架来评估范围,有效性,采用,实施和维护.
主要成果:
- HVIP入学率为12% (39/319),住院住院是独立预测因素 (OR 2.6).
- 促进者包括可信的信使和个人关系;一个障碍是害怕警察披露.
- 招生并没有显著减少重伤 (OR 0.70),在住房和心理健康方面发现了未满足的需求.
结论:
- 可信的信使增强了参与,而警察的参与是障碍.
- 住院环境为患者参与和招募提供了机会.
- 对HVIPs来说,建议增加计划强度和解决健康的社会决定因素.
关键词:
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