Larkin G L, Rolniak S, Hyman K B, MacLeod B A, Savage R
Department of Emergency Medicine, Mercy Hospital of Pittsburgh, Pa., USA. glarkin+@pitt.edu
Am J Public Health. 2000 Sep;90(9):1444-8. doi: 10.2105/ajph.90.9.1444.
This study measured the effects of an administrative intervention on health care provider compliance with universal domestic violence screening protocols.
We used a simple, interrupted-time-series design in a stratified random sample of female emergency department patients 18 years or older (n = 1638 preintervention, n = 1617 postintervention). The intervention was a 4-tiered hospital-approved disciplinary action, and the primary outcome was screening compliance.
Preintervention and postintervention screening rates were 29.5% and 72.8%, respectively. Before the intervention, screening was worse on the night shift (odds ratio [OR] = 0.46, 95% confidence interval [CI] = 0.31, 0.68) and with psychiatric patients (OR = 0.34, 95% CI = 0.14, 0.85); after the intervention, no previous screening barriers remained significant.
An administrative intervention significantly enhanced compliance with universal domestic violence screening.
本研究评估了一项行政干预措施对医疗服务提供者遵守普遍家庭暴力筛查方案的影响。
我们采用简单的中断时间序列设计,对18岁及以上的女性急诊科患者进行分层随机抽样(干预前n = 1638,干预后n = 1617)。干预措施为医院批准的四级纪律处分,主要结果是筛查依从性。
干预前和干预后的筛查率分别为29.5%和72.8%。干预前,夜班的筛查情况较差(优势比[OR]=0.46,95%置信区间[CI]=0.31,0.68),精神科患者的筛查情况也较差(OR = 0.34,95% CI = 0.14,0.85);干预后,之前的筛查障碍均不再显著。
一项行政干预措施显著提高了对普遍家庭暴力筛查的依从性。