美国外科医师学会创伤委员会成员关于火器伤的调查：共识与机遇
Survey of American College of Surgeons Committee on trauma members on firearm injury: Consensus and opportunities.
作者信息
Kuhls Deborah A, Campbell Brendan T, Burke Peter A, Allee Lisa, Hink Ashley, Letton Robert W, Masiakos Peter T, Coburn Michael, Alvi Maria, Lerer Trudy J, Gaines Barbara A, Nance Michael L, Schuerer Douglas J E, Palmieri Tina L, Davis James W, Geehan Douglas M, Elsey James K, Sutton Beth H, McAndrew Mark P, Gross Ronald I, Reed Donald N, Van Boerum Don H, Esposito Thomas J, Albrecht Roxie M, Sarani Babak, Shapiro David S, Wiggins-Dohlvik Katie, Stewart Ronald M
机构信息
From the American College of Surgeons Committee on Trauma Injury Prevention and Control Committee (D.A.K., B.T.C., P.A.B., L.A., A.H., R.W.L., P.T.M., M.C., M.A., T.J.L., B.A.G., M.L.N., D.J.E.S., T.L.P., J.W.D., D.M.G., J.K.E., B.H.S., M.P.M., R.I.G., D.N.R., D.H.V.B., T.J.E., R.M.A., B.S., D.S.S., K.W-D., R.M.S.), Chicago, Illinois.
出版信息
J Trauma Acute Care Surg. 2017 May;82(5):877-886. doi: 10.1097/TA.0000000000001405.
BACKGROUND
In the United States, there is a perceived divide regarding the benefits and risks of firearm ownership. The American College of Surgeons Committee on Trauma Injury Prevention and Control Committee designed a survey to evaluate Committee on Trauma (COT) member attitudes about firearm ownership, freedom, responsibility, physician-patient freedom and policy, with the objective of using survey results to inform firearm injury prevention policy development.
METHODS
A 32-question survey was sent to 254 current U.S. COT members by email using Qualtrics. SPSS was used for χ exact tests and nonparametric tests, with statistical significance being less than 0.05.
RESULTS
Our response rate was 93%, 43% of COT members have firearm(s) in their home, 88% believe that the American College of Surgeons should give the highest or a high priority to reducing firearm-related injuries, 86% believe health care professionals should be allowed to counsel patients on firearms safety, 94% support federal funding for firearms injury prevention research. The COT participants were asked to provide their opinion on the American College of Surgeons initiating advocacy efforts and there was 90% or greater agreement on 7 of 15 and 80% or greater on 10 of 15 initiatives.
CONCLUSION
The COT surgeons agree on: (1) the importance of formally addressing firearm injury prevention, (2) allowing federal funds to support research on firearms injury prevention, (3) retaining the ability of health care professionals to counsel patients on firearms-related injury prevention, and (4) the majority of policy initiatives targeted to reduce interpersonal violence and firearm injury. It is incumbent on trauma and injury prevention organizations to leverage these consensus-based results to initiate prevention, advocacy, and other efforts to decrease firearms injury and death.
LEVEL OF EVIDENCE
Prognostic/epidemiologic study, level I; therapeutic care, level II.
背景
在美国，对于拥有枪支的益处和风险存在一种认知上的分歧。美国外科医师学会创伤伤害预防与控制委员会设计了一项调查，以评估创伤委员会（COT）成员对枪支拥有、自由、责任、医患自由及政策的态度，目的是利用调查结果为枪支伤害预防政策的制定提供参考。
方法
通过Qualtrics以电子邮件方式向254名现任美国COT成员发送了一份包含32个问题的调查问卷。使用SPSS进行χ精确检验和非参数检验，统计学显著性水平设定为小于0.05。
结果
我们的回复率为93%，43%的COT成员家中有枪支，88%的成员认为美国外科医师学会应将减少枪支相关伤害列为最高或高度优先事项，86%的成员认为应允许医疗保健专业人员就枪支安全问题向患者提供咨询，94%的成员支持联邦政府为枪支伤害预防研究提供资金。COT参与者被要求就美国外科医师学会发起倡导努力发表意见，在15项倡议中的7项上有90%或更高的认可度，在15项倡议中的10项上有80%或更高的认可度。
结论
COT外科医生在以下方面达成共识：（1）正式解决枪支伤害预防问题的重要性；（2）允许联邦资金支持枪支伤害预防研究；（3）保留医疗保健专业人员就枪支相关伤害预防向患者提供咨询的能力；（4）大多数旨在减少人际暴力和枪支伤害的政策倡议。创伤和伤害预防组织有责任利用这些基于共识的结果，发起预防、倡导及其他努力，以减少枪支伤害和死亡。
证据级别
预后/流行病学研究，I级；治疗护理，II级。
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