COVID-19适应培训和支持计划,以改善对家庭虐待的初级保健反应:混合方法快速研究
Lucy Downes1, Estela Capelas Barbosa2
1IRISi, 10 Park Street, BS1 5HX, Bristol, UK.
BMC primary care
|January 10, 2024
概括
识别和转介以改善安全 (IRIS) 计划适应了COVID-19期间的远程支持,证明了对家庭虐待 (DA) 服务的可接受和可取. 虽然技术带来了挑战,但推回到了大流行前的水平,显示出有效的远程适应.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 家庭暴力研究 家庭暴力研究
背景情况:
- 由于COVID-19大流行增加了家庭虐待 (DA) 发生率和报告率,需要远程支持策略.
- 识别和转介以改善安全 (IRIS) 计划,在一般实践中有效用于DA支持,适应在线培训和远程患者服务.
- 之前的研究已经确定IRIS是DA的有效和成本效益的干预措施.
研究的目的:
- 评估远程运行的IRIS程序的相关性,可取性和可接受性.
- 收集关于DA支持服务适应在线和远程格式的证据.
- 评估远程服务对临床医生和受害者幸存者的影响.
主要方法:
- 混合方法 快速研究设计.
- 量化IRIS转诊数据与IRIS团队,临床医生和受害者幸存者的调查和采访数据的三角化.
- 15次采访的框架分析和调查数据的定量分析,利用精益影响方法进行快速评估.
主要成果:
- 发现IRIS培训和支持的远程适应是可以接受和可取的.
- 临床医生对远程处理DA的信心很高,尽管更喜欢面对面的互动.
- 转诊率最初下降,但到2020年7月恢复到大流行前的水平;技术是关键障碍.
结论:
- 通过远程咨询培训通用诊所的临床医生来识别,询问和转介DA病例是可取和可接受的.
- IRIS计划的远程适应证明了在支持DA受害者方面的可行性和有效性.
- 这些发现对于健康和公共卫生专员来说很重要,他们可以优化初级保健中DA应对策略.
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