Navigation Links
Disclosing violence to primary care or obstetrics/gynecology physicians most beneficial
Date:7/7/2008

(Boston, MA)Researchers from Boston University School of Medicine (BUSM) and Boston Medical Center (BMC) found that patients who disclose intimate partner violence (IPV) to their clinicians of any type did not experience serious harm. However, those who disclosed IPV in a primary care or obstetrics/gynecology setting received the most benefit. The findings, which appear in the Biomedical Central Public Health Journal, also conclude that disclosures made in an emergency department setting were more problematic from the patient's point of view.

Researchers studied 27 IPV survivors recruited through community support programs in Massachusetts. The participants were given in-depth interviews to ascertain types of medical encounters relating to abuse, with encounters described as either single interactions or continued contact over a period of time.

Participants described disclosure of IPV to medical personnel. They also reported episodes in which they were asked about or treated for an IPV related problem in which they did not disclose. The researchers determined the medical specialty in which the encounters occurred, and limited their focus to emergency department, obstetrical/gynecological care, and primary care. The researchers also labeled whether harms occurred as a result of any disclosure as well as the perceived helpfulness (beneficial or not).

Of the 59 visits studied; 23 were in a primary care setting, 17 in the emergency department and 19 in obstetrics/gynecology. Participants reported disclosure IPV to a clinician in more than half of the encounters, and actively did not disclose in 30 percent, while sensing the clinician's knowledge without their own disclosure in 10 percent. No situations of any type resulted in serious harms. The vast majority of disclosures were deemed beneficial, whereas only a third of the non-disclosure were considered beneficial. However, in the emergency department setting, only one quarter of the disclosures were considered beneficial, compared to three quarters in obstetrics/gynecology and 100 percent in a primary care setting.

According to the research, consequences from unhelpful disclosures resulted in fear and avoidance of health care. "The most serious negative consequences of disclosure occurred when participants reported feeling endangered because of disclosure after treatment for acute injuries in the emergency department," said lead author Jane Liebschutz, MD, MPH, FACP, physician in the section of General Internal Medicine at BMC, associate professor of medicine and social and behavioral sciences at BUSM. Liebschutz added. "Participants felt that ineffective communication on safety assessment referrals and follow-up for IPV, as well as the lack of emotional connection with clinicians, were key factors in determining unhelpful disclosures."

Many participants who had a beneficial disclosure experienced a change in their circumstances such as, leaving an abusive spouse, entering a detoxification program or filing a police report. These changes occurred after a clinician worked with an individual over a period of time. Instead of immediate end to the abuse, these patient-clinician encounters resulted in a shift in the participant's self-esteem, perception of the violent relationship, or awareness of alternatives, eventually empowering the victim to seek help for the abuse independently.

"Treatment for acute injury relating to IPV should be viewed by clinicians as an opportunity to educate and empower patients, and providing options for the patient when they are ready," said Liebschutz. "Clinicians may be empowered if they feel they have a task in helping the patient, rather than just uncovering a painful problem."


'/>"/>

Contact: Allison Rubin
allison.rubin@bmc.org
617-638-8491
Boston University
Source:Eurekalert

Related medicine news :

1. Disclosing violence to primary care or obestetrics/gynecology physicians most beneficial
2. Relationship Violence Common Among College Students
3. Medication Reduces Violence in Some Schizophrenics
4. Violence declines with medication use in some with schizophrenia
5. Growing Public Health Crisis of Domestic Violence and Suicides by Returning Veterans
6. Men experience domestic violence, with health impact
7. Nurses Blast SEIU for Deceit in Hiding Violence at Michigan Conference
8. RNs Call on Service Employees Union (SEIU) President Stern to Renounce Violence Following Brutal Attack on Labor Event
9. Male Partner Violence Hurts Womens Health Worldwide
10. Department of Health Highlights Violence as a Public Health Issue
11. Experts call for community mobilization to curb youth violence
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:9/21/2017)... Falls Church, VA (PRWEB) , ... September 21, ... ... **An FDAnews Webinar**, Sept. 26, 2017 — 1:30 p.m. – 3:00 p.m. ET, ... exacting business. It’s easy to get things wrong, run afoul of The Quality ...
(Date:9/21/2017)... CA (PRWEB) , ... September 21, 2017 , ... ... lunch and learn with Infinity Behavioral Health Services for professionals in the addiction ... a Commercial Payer Audit . , Insurance companies and state and federal ...
(Date:9/21/2017)... IL. (PRWEB) , ... September 21, 2017 , ... ... results released today of a new member survey conducted by the International ... restoration procedures performed from 2014 to 2016 rose 60 percent, with 635,189 procedures ...
(Date:9/21/2017)... San Diego, Ca (PRWEB) , ... September 21, 2017 , ... ... and affordable services to its customers, and give back to the community. For over ... on of the most successful companies serving plumbing in San Diego. They ...
(Date:9/21/2017)... , ... September 21, 2017 , ... ... Microscan’s LVS 7510 at the Global GS1 Healthcare Conference 2017 in Chicago, IL ... life-sciences industry for ensuring label quality and improving patient safety. , ...
Breaking Medicine News(10 mins):
(Date:9/6/2017)... ORANGEBURG, N.Y. , Sept. 6, 2017   PDI ... today announced it will host an educational session focused ... line-associated bloodstream infection (CLABSI) prevention at the 2017 Annual ... meeting, which will take place at the ... Arizona from Sept. 16-19, will also feature ...
(Date:9/5/2017)... Inc. has announced another milestone in their continued growth and success of the ... demands of customer engagements regionally.  ... office is located at 318 West Adams Street, Suite 1528, Chicago, IL ... Xyntek's recently opened Midwest office ... In addition ...
(Date:9/1/2017)... Michael Penna , President and CEO ... for growth in his response to the July 13, ... seeking a buyer for eMDs. Penna,s company, Complete HealthCare ... Value Added Reseller and national leader in the independent ... "As the healthcare market continues to dictate consolidation, healthcare ...
Breaking Medicine Technology: