Caralis P V, Musialowski R
General Medicine Section, University of Miami School of Medicine, and the Veterans Affairs Medical Center, FL 33125, USA.
South Med J. 1997 Nov;90(11):1075-80. doi: 10.1097/00007611-199711000-00003.
Although domestic violence (DV) is recognized as a serious crime, only recently has it been acknowledged as a critical public health problem.
To develop appropriate medical intervention methods to stop abuse, we interviewed 406 female patients in the ambulatory clinics at the Miami Veterans Affairs Medical Center, using a standardized questionnaire. We assessed their experiences with DV and their expectations of physicians in treating victims.
Of the 406 women, 40% have had emotional/physical abuse by a partner, 7% were currently in abusive relationships, and 3% had forced sex within the past year. Although 68% of the women could tell their doctors they were abuse victims, only 12% have been asked about abuse. Even when told of abuse, the doctors did nothing for 20% of the patients. The majority of the respondents believe that doctors should routinely screen for abuse. As part of treatment, all women strongly recommended that doctors provide information on community and legal resources and assistance in seeking protective services.
Domestic violence is a significant problem for female patients in the ambulatory care setting. Women expect physicians to act as their advocates and, in partnership with other community professionals, to assist abuse victims and stop the violence.
尽管家庭暴力被视为严重犯罪，但直到最近它才被公认为一个关键的公共卫生问题。
为了制定适当的医疗干预方法来制止虐待行为，我们使用标准化问卷对迈阿密退伍军人事务医疗中心门诊的406名女性患者进行了访谈。我们评估了她们遭受家庭暴力的经历以及她们对医生治疗受害者的期望。
在406名女性中，40%曾遭受伴侣的情感/身体虐待，7%目前处于受虐关系中，3%在过去一年中曾遭受强迫性行为。尽管68%的女性能够告知医生她们是虐待受害者，但只有12%的人曾被询问过是否遭受虐待。即使被告知存在虐待情况，仍有20%的患者的医生未采取任何措施。大多数受访者认为医生应常规筛查虐待情况。作为治疗的一部分，所有女性强烈建议医生提供有关社区和法律资源的信息，并协助她们寻求保护服务。
家庭暴力是门诊护理环境中女性患者面临的一个重大问题。女性期望医生充当她们的支持者，并与其他社区专业人员合作，协助虐待受害者并制止暴力行为。
