Hospital-based violence intervention programs save lives and money
Hospital-based violence intervention programs save lives and money
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DOI：
10.1097/ta.0b013e318294f518
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发表时间：
2013-08-01
影响因子：
3.4
通讯作者：
Moreland, Dawn
中科院分区：
文献类型：
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作者：
Purtle, Jonathan;Dicker, Rochelle;Moreland, Dawn
伤害预防活动是现代创伤中心的一个重要特征。1暴力伤害V五年再伤害率高达45%V是预防干预的优先领域。2、3创伤护理的进步增加了患者在暴力伤害中存活的可能性，但并没有减少他们在出院后再次受伤的可能性。暴力伤害的反复发生给创伤系统带来了经济压力，缺乏预防性干预与创伤中心提供最佳护理的承诺不一致。以医院为基础的暴力干预计划(HVIP)为解决这些问题提供了一种战略。艾滋病综合防治中心将简短的住院干预与以社区为基础的密集病例管理相结合，为高危人群提供有针对性的服务，以减少再次受伤和报复的风险因素，同时培养保护因素。对HVIP的严格评估表明，在预防暴力再伤害、暴力犯罪和药物滥用方面取得了可喜的成果。4 Y8暴力伤害作为暴力侵害儿童行为的一个重点，通常被定义为他人通过任何机制故意造成的任何伤害，不包括家庭、亲密伴侣和性暴力。后者被排除在外，因为它们通常涉及不同的动态和干预策略。
Injury prevention activities are a defining characteristic of the modern trauma center. 1 Violent injuryVwith a 5-year reinjury rate as high as 45% Vrepresents a priority area for preventive intervention. 2, 3 Advances in trauma care increase the likelihood that a patient will survive violent injury but do nothing to reduce the chances that they will be reinjured after leaving the hospital. The recurrent nature of violent injury strains trauma systems financially, and the absence of preventive intervention is inconsistent with trauma centers’ commitment to providing optimal care. Hospital-based violence intervention programs (HVIPs) offer a strategy to address these issues. HVIPs combine brief in-hospital intervention with intensive community-based case management and provide targeted services to high-risk populations to reduce risk factors for reinjury and retaliation while cultivating protective factors. Rigorous evaluations of HVIPs have demonstrated promising results in preventing violent reinjury, violent crime, and substance misuse. 4Y8 Violent injury, as a focus of HVIPs, is generally defined as any injury intentionally inflicted by another person by any mechanism, excluding family, intimate partner, and sexual violence. The latter are excluded because they generally involve different dynamics and intervention strategies.