Mondragón D
Center for Health Policy and Ethics, Creighton University School of Medicine, Omaha, NE 68178, USA.
J Health Care Poor Underserved. 1995;6(2):209-16.
Primary-care clinicians can assess gang involvement and gang violence risk during the routine history and physical exam. This paper forwards a model for history and risk assessment. The objective of creating the model was to develop a practical prototype for clinicians to use in this assessment. The history and physical exam variables were determined by a study of the etiology and correlates of gang membership and gang violence. The history and physical risk assessment tool is based on standard patient care algorithms. It works best in a managed care setting with a high incentive for violence prevention and cost reduction, and where access to a broad range of traditional and nontraditional referral sources exists. Representative referrals are discussed.
基层医疗临床医生可以在常规病史采集和体格检查过程中评估帮派参与情况和帮派暴力风险。本文提出了一种病史和风险评估模型。创建该模型的目的是开发一个供临床医生在这种评估中使用的实用原型。病史和体格检查变量是通过对帮派成员身份和帮派暴力的病因及相关因素的研究确定的。病史和体格风险评估工具基于标准的患者护理算法。它在有强烈预防暴力和降低成本动机且能获取广泛传统和非传统转诊资源的管理式医疗环境中效果最佳。文中还讨论了典型的转诊情况。
