دانلود رایگان مقاله انگلیسی غربالگری IPV و آمادگی برای پاسخگویی به IPV در تنظیمات Ob-Gyn: مطالعه بیمار و پزشک - هینداوی 2018

Purpose. Intimate partner violence (IPV) is a serious, preventable public health concern that largely affects women of reproductive age. Obstetrician-gynecologists (ob-gyns) have a unique opportunity to identify and support women experiencing IPV to improve women’s health. Considering recent efforts to increase IPV awareness and intervention, the present study aimed to provide a current evaluation of nationally representative samples to assess ob-gyn readiness to respond to IPV as well as patient IPV-related experiences. Methods. 400 ob-gyns were randomly selected from American College of Obstetricians and Gynecologists’ (ACOG) Collaborative Ambulatory Research Network. Each physician was mailed one physician survey and 25 patient surveys. Results. IPV training/education and IPV screening practices were associated with most measures of ob-gyn readiness to respond to IPV. Among respondents, 36.8% endorsed screening all patients at annual exams; however, 36.8% felt they did not have sufficient training to assist individuals in addressing IPV. Workplace encouragement of IPV response was associated with training, screening, detection, preparation/knowledge, response practices, and resources. Thirty-one percent of patients indicated their ob-gyn had asked about possible IPV experiences during their medical visit. Conclusion. Findings highlight specific gaps in ob-gyns’ IPV knowledge and response practices to be further addressed by IPV training.

5. Conclusion

In conclusion, our findings highlight the need to improve IPV training and workplace support to facilitate ob-gyn screening of and response to IPV. Addressing IPV in healthcare settings can improve the reproductive and overall health of women, confer positive outcomes for children/families, and reduce the wide-reaching societal and economic consequences of IPV [9]. However, physicians generally report dissatisfaction with their IPV education and training [18]. Specific areas of uncertainty (e.g., state legal requirements) and underutilized response practices (e.g., safety planning) need to be further addressed. Furthermore, IPV training programs may be more effective if they were to aid ob-gyns in recognizing the importance of universal and routine screening of all patients, not just those at increased risk of victimization, so as to reduce missed opportunities for identifying survivors. Additionally, it should be emphasized that screening for IPV is itself an intervention, as detection and referral to appropriate community resources have significant impact. Recent research indicates computer screening may increase IPV disclosures as well as IPV discussions between physicians and patients and the amount of services provided [27]. Perceived workplace support for IPV response as well as practice-related resources (e.g., community referrals, an IPV response protocol) appear to facilitate ob-gyn preparedness to respond to IPV.