哪些类型的提供者在儿科初级保健诊所有枪支讨论?
Erica K Sheline1, Eric J Sigel2, Maya E Bunik3
1Department of Pediatrics (EK Sheline, EJ Sigel, ME Bunik, J Leonard, and M Dillon), University of Colorado School of Medicine, Aurora.
Academic pediatrics
|July 27, 2024
概括
医学学生更有可能与年轻人讨论安全的枪支存储,而不是与医生讨论. 然而,关于枪支安全的讨论在自杀风险较高的患者中并不频繁.
科学领域:
- 公共卫生 公共卫生
- 医学教育 医学教育
- 伤害预防 预防伤害
背景情况:
- 安全的枪支存储对于预防青少年枪支伤害至关重要.
- 医疗提供者可以在与家人讨论枪支安全方面发挥关键作用.
- 目前在初级保健机构的枪支讨论率尚不清楚.
研究的目的:
- 确定哪些医疗保健提供者最有可能与患者讨论枪支安全问题.
- 为了确定医疗服务提供者是否更有可能与被确定为有高自杀风险的患者讨论枪支.
主要方法:
- 从2019年1月到12月的初级保健健康儿童访问的回顾性图表审查.
- 收集的数据包括提供者类型,培训水平和枪支讨论 (咨询或选) 的文件.
- 还分析了患者的人口统计,精神健康史和自杀风险 (通过患者健康问卷-9分数进行评估).
主要成果:
- 在743张审查的图表中,枪支讨论仅记录在9%的图表中.
- 医学学生最有可能讨论枪支 (15%),而主治医生最不可能 (1%).
- 对于自杀风险较高的患者来说,枪支讨论频率没有显著差异.
结论:
- 虽然医学学生的枪支讨论率较高,但整体文档仍然很低.
- 缺乏与高风险年轻人进行更多的枪支安全讨论是一个重大问题.
- 需要进一步的研究,以了解障碍,并制定战略,以改善高级提供者之间的枪支咨询.
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