Greenman Sarah J, Wylie Audrianna, Taylor Brandon, Chepp Valerie
Hamline University, Saint Paul, MN, USA.
Cleveland Clinic, OH, USA.
Trauma Violence Abuse. 2025 Jun 19:15248380251343183. doi: 10.1177/15248380251343183.
Intimate partner violence (IPV) is a significant public health problem that medical providers can help address by identifying affected patients and providing appropriate referrals. This scoping review examines IPV referrals in healthcare settings-the step that occurs after IPV victimization is identified by a medical provider through a screening tool. Three research databases-Criminal Justice Abstracts, PubMed, and PsycINFO-were searched for literature published between 2012 and 2022, using the key terms "intimate partner violence," "screen*," and "refer*." Sources ( = 265) were screened using three primary eligibility requirements: (a) an adult was the primary victim of IPV, (b) a screening and referral process occurred in a healthcare setting by a healthcare professional who routinely conducted screenings, and (c) a referral process, the period after IPV was positively identified through the use of a screener, was explored. After removing 172 articles during initial abstract screening and another 10 articles after full text review, 36 studies compromised the final dataset. Findings show inconsistencies and gaps in the referral process within healthcare settings. While numerous medical bodies recommend IPV screening, our review reveals a lack of consistency in what follows a positive IPV screening, particularly with regard to referral type and frequency. Referral effectiveness was measured in multiple ways across studies, and several barriers to referrals were identified. The findings from this scoping review suggest that future research should untether empirical investigations of the referral process from screening, and researchers should work with practitioners to explore the effect of consistent referrals with patient follow-ups.
亲密伴侣暴力（IPV）是一个重大的公共卫生问题，医疗服务提供者可以通过识别受影响的患者并提供适当的转诊来帮助解决这一问题。本范围综述考察了医疗环境中的IPV转诊情况——这是在医疗服务提供者通过筛查工具识别出IPV受害者之后的步骤。我们在三个研究数据库——刑事司法摘要数据库、医学期刊数据库和心理学文摘数据库中检索了2012年至2022年期间发表的文献，使用的关键词为“亲密伴侣暴力”“筛查”和“转诊”。我们根据三个主要的纳入标准对资料来源（n = 265）进行了筛选：（a）成年人是IPV的主要受害者；（b）医疗专业人员在医疗环境中进行了筛查和转诊过程，且该专业人员经常进行筛查；（c）探讨了转诊过程，即通过筛查工具确定IPV呈阳性后的阶段。在初步摘要筛选过程中剔除了172篇文章，在全文审查后又剔除了10篇文章，最终数据集包含36项研究。研究结果显示，医疗环境中的转诊过程存在不一致和差距。虽然众多医学机构推荐进行IPV筛查，但我们的综述表明，IPV筛查呈阳性后的后续措施缺乏一致性，特别是在转诊类型和频率方面。在各项研究中，转诊有效性的衡量方式多种多样，并且确定了转诊的几个障碍。本范围综述的研究结果表明，未来的研究应将转诊过程的实证研究与筛查分开，研究人员应与从业者合作，探讨持续转诊及患者随访的效果。
