Petersen Ruth, Moracco Kathryn E, Goldstein Karen M, Clark Kathryn Andersen
Department of Obstetrics and Gynecology, School of Medicine, University of North Carolina at Chapel Hill, USA.
J Am Med Womens Assoc (1972). 2003 Summer;58(3):185-90.
To explore women's perspectives about how to enhance services for those who experience intimate partner violence (IPV) and how to improve the links between such services and the health care setting.
We conducted 6 focus groups involving 67 women in both rural and urban settings in North Carolina. A standardized interview guide was used to investigate the women's perspectives on the study objectives. Coding and theme analyses were conducted to assess new ideas and/or common themes among the groups.
Participants identified currently available services for women experiencing IPV, including health care providers, police and the legal system, domestic violence shelters, and churches. Participants discussed existing barriers to addressing violence within the health care system, including cost of medical services, risk of having social services remove their children, violence being too personal to discuss, and doctors' inability to provide what they thought victims really needed. Participants agreed that the most important role for providers would be referrals to useful services (advocacy, job training, and financial support). Participants also emphasized the need for community-based prevention efforts.
We found a striking lack of support among women participants in our study for using the health care setting as part of the service response to IPV. Participants believed that the health care system is not set up to allow providers to provide the level of individual assistance that they thought would be most useful. Participants did have hope that women's risk of future IPV would decrease if they were provided with useful community-based services and if community-wide prevention efforts were implemented.
探讨女性对于如何加强针对亲密伴侣暴力（IPV）受害者的服务，以及如何改善此类服务与医疗保健机构之间联系的看法。
我们在北卡罗来纳州的农村和城市地区开展了6个焦点小组访谈，共有67名女性参与。使用标准化的访谈指南来调查女性对研究目标的看法。进行编码和主题分析，以评估各小组中的新观点和/或共同主题。
参与者指出了目前为遭受IPV的女性提供的服务，包括医疗保健提供者、警察和法律系统、家庭暴力庇护所及教会。参与者讨论了医疗保健系统在应对暴力方面存在的现有障碍，包括医疗服务费用、社会服务机构带走其子女的风险、暴力过于私密难以启齿，以及医生无法提供她们认为受害者真正需要的帮助。参与者一致认为，提供者最重要的作用是转介至有用的服务（宣传、职业培训和经济支持）。参与者还强调了基于社区的预防工作的必要性。
我们发现，在我们的研究中，女性参与者对于将医疗保健机构作为IPV服务应对措施的一部分，明显缺乏支持。参与者认为，医疗保健系统的设置不允许提供者提供她们认为最有用的个人援助水平。参与者确实希望，如果为女性提供有用的基于社区的服务，并且开展全社区的预防工作，女性未来遭受IPV的风险将会降低。
