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南非初级保健中亲密伴侣暴力的护理质量:一项定性研究。

Quality of care for intimate partner violence in South African primary care: a qualitative study.

作者信息

Joyner Kate, Mash Bob

出版信息

Violence Vict. 2014;29(4):652-69. doi: 10.1891/0886-6708.vv-d-13-00005.

Abstract

Intimate partner violence (IPV) makes a substantial contribution to the burden of disease in South Africa. This article explores the current quality of care for IPV in public sector primary care facilities within the Western Cape. Only 10% of women attending primary care, while suffering from IPV, were recognized. Case studies, based on in-depth interviews and medical records, were used to reflect on the quality of care received among the women who were recognized. Care tended to be superficial, fragmented, poorly coordinated, and lacking in continuity. The recognition, management, and appropriate documentation of IPV should be prioritized within the training of primary care providers. It may be necessary to appoint IPV champions within primary care to ensure comprehensive care for survivors of IPV.

摘要

亲密伴侣暴力对南非的疾病负担有重大影响。本文探讨了西开普省公共部门初级保健机构中目前针对亲密伴侣暴力的护理质量。在接受初级保健的妇女中,只有10%在遭受亲密伴侣暴力时得到了识别。基于深入访谈和病历的案例研究被用来反思那些被识别出来的妇女所接受的护理质量。护理往往流于表面、零散、协调不佳且缺乏连续性。在初级保健提供者的培训中,应优先考虑亲密伴侣暴力的识别、管理和适当记录。可能有必要在初级保健机构中指定亲密伴侣暴力问题负责人,以确保为亲密伴侣暴力幸存者提供全面护理。

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