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针对受暴力影响的家庭的综合系统响应:一个范围审查
Claire Gear1, Chien Ting1, Carey Manuel2
1Centre for Interdisciplinary Trauma Research, School of Clinical Sciences, Auckland University of Technology, Private Bag 92006, Auckland 1142, New Zealand.
International journal of integrated care
|May 27, 2024
概括
综合家庭暴力服务显示了多种方法,只有有限的证据表明改善了结果. 了解不同的世界观是克服家庭暴力干预的实施挑战的关键.
科学领域:
- 公共卫生 公共卫生
- 社会学 社会学 社会学
- 社会工作 社会工作 社会工作
背景情况:
- 家庭暴力显著影响健康和福祉.
- 综合服务交付被广泛倡导,但不一致地实施.
- 现有的对家庭暴力服务的综合方法缺乏明确的概念化.
研究的目的:
- 探索综合家庭暴力服务交付的概念化.
- 在集成服务中映射系统代理之间的动态相互作用.
- 确定有效实施的挑战和途径.
主要方法:
- 采用了一种记录的范围审查过程.
- 复杂性理论镜头用于分析系统代理互动.
- 分析包括研究特征,药剂相互作用和整合机制.
主要成果:
- 分析了72份报告,揭示了法定机构 (警察,儿童保护) 之间的频繁互动.
- 医疗保健提供者通常是局部参与的.
- 三种影响路径出现了:以系统为中心,以人为中心和以土著为中心的世界观.
结论:
- 综合家庭暴力服务提供模式的变化很大.
- 证据表明,对寻求护理的人来说,改善了安全,健康和福祉的证据在很大程度上不存在.
- 了解世界观对于应对持续的整合挑战至关重要.
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