Kohler Susanne, Höhne Anke, Ehrhardt Maren, Artus Johanna, Seifert Dragana, Anders Sven
Department of Medical Sociology and Health Economics, University Medical Center Hamburg-Eppendorf, Martinistraße 52, 20246 Hamburg, Germany.
J Forensic Leg Med. 2013 Aug;20(6):732-5. doi: 10.1016/j.jflm.2013.04.008. Epub 2013 May 28.
A qualitative interview based study on ways of addressing and managing domestic violence (DV) by general practitioners (GPs) is presented. Problem centred semi-structured topic-guided interviews were conducted with 10 male and nine female GPs. Transcribed passages were analysed with the deductive approach of qualitative content analysis. Female doctors gave broader definitions of DV. Addressing of DV by a patient was perceived as a demand to act by all doctors. Documentation of injuries was considered to be important. Time constraints, feelings of being ashamed and helpless were described as barriers in addressing DV. Female doctors reported being anxious about losing their professional distance in cases of female victims. While female participants tend to take an 'acting' role in managing cases of DV by being responsible for treatment and finding a solution in collaboration with the patient, male doctors preferred an 'organising' role, assisting patients finding further help. Definitions of DV and differences in addressing the issue seemed to be strongly affected by personal professional experience. Definitions of DV, personal barriers in addressing the subject and understanding of the own role in management and treatment of DV cases differed between male and female doctors. Pre-existing definitions of DV, personal experience and gender aspects have to be taken into account when planning educational programmes for GPs on the issue of DV.
本文介绍了一项基于定性访谈的研究，该研究探讨了全科医生（GP）处理和管理家庭暴力（DV）的方式。对10名男全科医生和9名女全科医生进行了以问题为中心的半结构化主题引导访谈。采用定性内容分析的演绎方法对转录的段落进行了分析。女医生对家庭暴力给出了更宽泛的定义。所有医生都认为患者提出处理家庭暴力的问题是一种行动要求。他们认为记录伤情很重要。时间限制、羞耻感和无助感被描述为处理家庭暴力的障碍。女医生表示，在面对女性受害者的案件时，她们担心失去职业上的距离感。虽然女性参与者在处理家庭暴力案件时倾向于扮演“行动者”的角色，负责治疗并与患者合作寻找解决方案，但男医生更喜欢扮演“组织者”的角色，帮助患者寻求更多帮助。家庭暴力的定义以及处理该问题的差异似乎受到个人专业经验的强烈影响。男医生和女医生在家庭暴力的定义、处理该问题的个人障碍以及对自己在家庭暴力案件管理和治疗中的角色的理解方面存在差异。在为全科医生制定关于家庭暴力问题的教育计划时，必须考虑到预先存在的家庭暴力定义、个人经验和性别因素。
