将医疗保健应对亲密伴侣暴力的方式转变为最佳实践并推广。
Transforming the healthcare response to intimate partner violence and taking best practices to scale.
机构信息
Johns Hopkins Bloomberg School of Public Health, Department of Population Family & Reproductive Health; Women's and Children's Health Policy Center, Baltimore, Maryland 21205, USA.
出版信息
J Womens Health (Larchmt). 2012 Dec;21(12):1222-9. doi: 10.1089/jwh.2012.4058.
BACKGROUND
Intimate partner violence (IPV) is prevalent among adolescent and adult women, with significant physical, sexual, and mental health consequences. In 2011, the Institute of Medicine's Clinical Preventive Services for Women consensus report recommended universal screening for violence as a component of women's preventive services; this policy has been adopted by the Health Resources and Services Administration (HRSA). These policy developments require that effective clinic-based interventions be identified, easily implemented, and taken to scale.
METHODS
To foster dialogue about implementing effective interventions, we convened a symposium entitled "Responding to Violence Against Women: Emerging Evidence, Implementation Science, and Innovative Interventions," on May 21, 2012. Drawing on multidisciplinary expertise, the agenda integrated data on the prevalence and health impact of IPV violence, with an overview of the implementation science framework, and a panel of innovative IPV screening interventions. Recommendations were generated for developing, testing, and implementing clinic-based interventions to reduce violence and mitigate its health impact.
RESULTS
The strength of evidence supporting specific IPV screening interventions has improved, but the optimal implementation and dissemination strategies are not clear. Implementation science, which seeks to close the evidence to program gap, is a useful framework for improving screening and intervention uptake and ensuring the translation of research findings into routine practice.
CONCLUSIONS
Findings have substantial relevance to the broader research, clinical, and practitioner community. Our conference proceedings fill a timely gap in knowledge by informing practitioners as they strive to implement universal IPV screening and guiding researchers as they evaluate the success of implementing IPV interventions to improve women's health and well-being.
背景
亲密伴侣暴力（IPV）在青少年和成年女性中普遍存在，对她们的身心健康有着重大影响。2011 年，美国医学研究所（IOM）的妇女临床预防服务共识报告建议将暴力筛查作为妇女预防服务的一部分，这一政策已被卫生资源和服务管理局（HRSA）采纳。这些政策的发展要求确定有效的、可在诊所实施的、并可大规模推广的干预措施。
方法
为了推动关于实施有效干预措施的对话，我们于 2012 年 5 月 21 日举办了一次题为“应对暴力侵害妇女行为：新兴证据、实施科学和创新干预措施”的研讨会。该议程借鉴了多学科专业知识，将 IPV 暴力的流行率和健康影响数据与实施科学框架以及创新的 IPV 筛查干预措施小组结合在一起。会议提出了制定、测试和实施基于诊所的干预措施以减少暴力及其对健康的影响的建议。
结果
支持特定 IPV 筛查干预措施的证据有所增强，但最佳实施和传播策略尚不清楚。实施科学旨在缩小证据与项目之间的差距，是提高筛查和干预措施利用率并确保研究结果转化为常规实践的有用框架。
结论
研究结果与更广泛的研究、临床和从业者社区密切相关。我们的会议记录及时填补了知识空白，为从业者在努力实施普遍的 IPV 筛查提供信息，并为评估实施 IPV 干预措施以改善妇女健康和福祉的效果提供指导。
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