Saint Louis University, School of Social Work, St. Louis, Missouri.
Washington University School of Medicine, Division of Clinical and Translation Research, St. Louis, Missouri.
West J Emerg Med. 2021 Mar 4;22(2):291-296. doi: 10.5811/westjem.2020.12.49045.
Sexual assault is a public health problem that affects many Americans and has multiple long-lasting effects on victims. Medical evaluation after sexual assault frequently occurs in the emergency department, and documentation of the visit plays a significant role in decisions regarding prosecution and outcomes of legal cases against perpetrators. The American College of Emergency Physicians recommends coding such visits as sexual assault rather than adding modifiers such as "alleged."
This study reviews factors associated with coding of visits as sexual assault compared to suspected sexual assault using the 2016 Nationwide Emergency Department Sample.
Younger age, female gender, a larger number of procedure codes, urban hospital location, and lack of concurrent alcohol use are associated with coding for confirmed sexual assault.
Implications of this coding are discussed.
性侵犯是一个公共卫生问题,影响着许多美国人,并对受害者造成多种长期影响。性侵犯后的医疗评估通常在急诊室进行,就诊记录在决定是否起诉以及对犯罪者的法律案件结果方面起着重要作用。美国急诊医师学院建议将此类就诊编码为性侵犯,而不是添加“涉嫌”等修饰符。
本研究使用 2016 年全国急诊样本回顾了与将就诊编码为性侵犯而非疑似性侵犯相关的因素。
年龄较小、女性、更多的程序编码、城市医院位置以及无同时使用酒精与确诊性侵犯的编码相关。
讨论了这种编码的影响。