VA Palo Alto Health Care System Center for Innovation to Implementation (Ci2i), Menlo Park, CA, USA.
Center for Primary Care and Outcomes Research (PCOR) and Center for Health Policy (CHP), Stanford University, Stanford, CA, USA.
J Gen Intern Med. 2020 Sep;35(9):2728-2731. doi: 10.1007/s11606-020-05990-0. Epub 2020 Jun 30.
Initial reports indicate widespread increases in intimate partner violence (IPV) rates during the coronavirus disease 2019 (COVID-19) pandemic. Women veterans are at particular risk for experiencing IPV, and the COVID-19 pandemic and resulting stay-at-home orders may be exacerbating this risk. IPV screening and intervention are an integral part of the care provided to women veterans in the Veteran's Health Administration (VHA). Current changes in healthcare delivery during COVID-19 may present challenges to the VHA's standard methods of initiating IPV screening and intervention with women veterans. We discuss the potential challenges VHA healthcare providers may be encountering when conducting routine IPV screening during the COVID-19 pandemic and when providing resources and support to women veterans experiencing IPV. We describe solutions to these challenges, including existing efforts led by the VHA IPV Assistance Program (IPVAP) as well as additional potential solutions. New ideas and partnerships will be critical for helping the VHA continue to assist women veterans experiencing IPV as the COVID-19 pandemic evolves. Though our focus is on women veterans and the VHA, the challenges and solutions we discuss are likely applicable to other populations experiencing IPV and other health care systems screening for IPV.
初步报告显示,2019 年冠状病毒病(COVID-19)大流行期间,亲密伴侣暴力(IPV)发生率普遍上升。女性退伍军人特别容易遭受 IPV,而 COVID-19 大流行和由此产生的居家令可能会使这种风险恶化。IPV 筛查和干预是退伍军人事务部(VHA)为女性退伍军人提供护理的重要组成部分。在 COVID-19 期间,医疗保健服务的当前变化可能会对 VHA 为女性退伍军人启动 IPV 筛查和干预的标准方法提出挑战。我们讨论了 VHA 医疗保健提供者在 COVID-19 大流行期间进行常规 IPV 筛查时以及在为遭受 IPV 的女性退伍军人提供资源和支持时可能遇到的潜在挑战。我们描述了这些挑战的解决方案,包括 VHA IPV 援助计划(IPVAP)领导的现有努力以及其他潜在的解决方案。随着 COVID-19 的发展,新的想法和伙伴关系对于帮助 VHA 继续为遭受 IPV 的女性退伍军人提供帮助至关重要。尽管我们的重点是女性退伍军人和 VHA,但我们讨论的挑战和解决方案可能适用于其他遭受 IPV 和其他医疗保健系统筛查 IPV 的人群。