医院暴力干预的三支护理连续模式的特点
Christine Castater1,2, Lucy Hart3, Ariana Metchik3
1Surgery, Morehouse School of Medicine, Atlanta, Georgia, USA.
Trauma surgery & acute care open
|December 3, 2025
概括
基于医院的暴力干预计划 (HVIP) 可以减少重伤. 新的床边,诊所,社区 (BCC) 模式提供纵向护理,解决暴力受害者健康的社会决定因素.
科学领域:
- 公共卫生 公共卫生
- 健康 公平 卫生 公平
- 创伤信息化的护理
背景情况:
- 枪支暴力不成比例地影响非西班牙裔黑人男性,延续了反复发生的暴力循环.
- 系统性不平等加剧了枪支暴力对弱势群体的影响.
- 现有的医院暴力干预计划 (HVIP) 往往缺乏纵向支持.
研究的目的:
- 引入和评估一种新的三支连续护理模式:床边,诊所,社区 (BCC).
- 解决健康的社会驱动因素,为社区暴力受害者提供公平的服务.
- 通过全面的纵向支持,减少暴力重伤.
主要方法:
- 通过使用BCC模型实施"在青年和年轻成年人中打断暴力" (IVYY) 计划.
- 第一个支柱:为住院患者提供"床边"护理.
- 第二支柱:为医疗和社会问题提供多学科"诊所".
- 第三支柱:资源链接的"社区"伙伴关系.
- 长期提供教育,心理健康,住房,就业,财政和法律援助.
主要成果:
- 在第一年,IVYY招募了299名患者,其中有1168名住院访问.
- 26.1%的高风险患者在IVYY诊所接受了专业护理.
- 社区合作伙伴成功地将参与者与必不可少的资源联系起来.
- 该BCC模型促进了纵向护理,解决了患者的各种需求.
结论:
- 床边,诊所,社区 (BCC) 模式为暴力干预提供了一个全面的纵向方法.
- 这种模式有效地解决了健康的社会决定因素,并促进了公平的服务提供.
- 采用BCC模式的HVIP可以显著改善社区暴力受害者的结果.
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