Zachary Mary J, Schechter Clyde B, Kaplan Margaret L, Mulvihill Michael N
Montefiore Medical Center Albert Einstein College of Medicine of Yeshiva University, Department of Family Medicine and Community Health, Bronx, New York, USA.
Womens Health Issues. 2002 Jan-Feb;12(1):5-15. doi: 10.1016/s1049-3867(01)00142-6.
This article describes the provider evaluation of a multifaceted system of care for pregnant women experiencing domestic violence and who receive prenatal care in an urban family practice site, one of four national demonstration projects. Providers reported changes in their own self-efficacy and behavior, but showed little improvement in overall attitudes or knowledge. Focus groups revealed that an easily accessible domestic violence coordinator was important, whereas providers stated that most domestic violence protocol materials were not useful. Guidelines that rely on training and protocols have had limited national success, suggesting that additional systems of care such as written chart prompts, quality improvement, and on-site domestic violence services may be necessary. This intervention was well received by providers, a key factor in any effort to alter provider behavior.
本文描述了对一个多方面护理系统的提供者评估，该系统针对遭受家庭暴力且在城市家庭医疗场所接受产前护理的孕妇，这是四个全国示范项目之一。提供者报告了他们自身自我效能和行为的变化，但在总体态度或知识方面几乎没有改善。焦点小组表明，有一个易于联系的家庭暴力协调员很重要，而提供者表示大多数家庭暴力协议材料没有用处。依赖培训和协议的指导方针在全国范围内取得的成功有限，这表明可能需要额外的护理系统，如书面图表提示、质量改进和现场家庭暴力服务。这种干预受到了提供者的好评，这是改变提供者行为的任何努力中的一个关键因素。
