General practice wide adaptations to support patients affected by DVA during the COVID-19 pandemic: a rapid qualitative study.
General practice wide adaptations to support patients affected by DVA during the COVID-19 pandemic: a rapid qualitative study.
复制标题
DOI：
10.1186/s12875-023-02008-6
复制
发表时间：
2023-03-23
期刊：
影响因子：
--
通讯作者：
中科院分区：
文献类型：
--
作者：
在大流行期间，全球关于家庭暴力和虐待的报告有所增加。全科医学在确定和支持受DVA影响的人方面发挥着核心作用。英国初级保健中与大流行相关的变化包括与初级保健的远程初始接触和主要是远程咨询。本文探讨了新冠肺炎大流行期间全科医生对DVA护理的适应情况。我们通过电话对英格兰和威尔士六个地方的工作人员进行了远程半结构化访谈，这些地方开展了识别和转介以改善安全(IRIS)初级保健DVA计划。我们在2021年4月至2022年2月期间对三名执业经理、三名接待和行政人员、八名全科医生和七名专科DVA工作人员进行了采访。具有DVA实际经验的患者和公众参与和参与(PPI&E)顾问指导了该项目。我们一起根据我们的发现为初级保健团队制定了建议。我们在四个主题中介绍了我们的发现，代表了提供DVA护理的初级保健适应：1.使DVA护理的一般做法变得可用：工作人员为预约采用电话分流流程，并促进在线DVA支持的可用性。2.全科实践团队--努力确定DVA：实践开发了新的协作方法，包括整个团队适应信息处理和沟通3.适应关于DVA的远程咨询：团队被要求适应挑战，包括对安全、隐私和远程发展信任的担忧。4.转诊至DVA专科支持的经验：专科服务提供的支持是有效的，在大流行期间基本没有变化。大流行限制造成的破坏揭示了在临床会诊之前、期间和之后的团队动态和互动如何有助于识别和支持经历DVA的患者。远程评估使DVA护理的获取和交付变得复杂。这对NHS内部和国际上的所有初级和二级保健机构都有影响，在实践和政策中都是至关重要的。网上版载有补充材料，可在10.1186/s12875-023-02008-6查阅。
Reporting of domestic violence and abuse (DVA) increased globally during the pandemic. General Practice has a central role in identifying and supporting those affected by DVA. Pandemic associated changes in UK primary care included remote initial contacts with primary care and predominantly remote consulting. This paper explores general practice’s adaptation to DVA care during the COVID-19 pandemic. Remote semi-structured interviews were conducted by telephone with staff from six localities in England and Wales where the Identification and Referral to Improve Safety (IRIS) primary care DVA programme is commissioned. We conducted interviews between April 2021 and February 2022 with three practice managers, three reception and administrative staff, eight general practice clinicians and seven specialist DVA staff. Patient and public involvement and engagement (PPI&E) advisers with lived experience of DVA guided the project. Together we developed recommendations for primary care teams based on our findings. We present our findings within four themes, representing primary care adaptations in delivering DVA care: 1. Making general practice accessible for DVA care: staff adapted telephone triaging processes for appointments and promoted availability of DVA support online. 2. General practice team-working to identify DVA: practices developed new approaches of collaboration, including whole team adaptations to information processing and communication 3. Adapting to remote consultations about DVA: teams were required to adapt to challenges including concerns about safety, privacy, and developing trust remotely. 4. Experiences of onward referrals for specialist DVA support: support from specialist services was effective and largely unchanged during the pandemic. Disruption caused by pandemic restrictions revealed how team dynamics and interactions before, during and after clinical consultations contribute to identifying and supporting patients experiencing DVA. Remote assessment complicates access to and delivery of DVA care. This has implications for all primary and secondary care settings, within the NHS and internationally, which are vital to consider in both practice and policy. The online version contains supplementary material available at 10.1186/s12875-023-02008-6.
登录
查看更多内容
精神健康的远程护理：与服务使用者，护理人员和员工的定性研究期间大流行期间。
影响因子：
2.9
作者：
Liberati E;Richards N;Parker J;Willars J;Scott D;Boydell N;Pinfold V;Martin G;Dixon-Woods M;Jones P
通讯作者：
Jones P
影响因子：
3.2
作者：
Dowrick A;Feder G;Kelly M
通讯作者：
Kelly M
DOI：
10.1002/ajs4.183
发表时间：
2021-12
期刊：
The Australian journal of social issues
影响因子：
--
作者：
Carrington K;Morley C;Warren S;Ryan V;Ball M;Clarke J;Vitis L
通讯作者：
Vitis L
影响因子：
3.7
作者：
Hegarty, Kelsey;McKibbin, Gemma;Hooker, Leesa
通讯作者：
Hooker, Leesa
影响因子：
2.9
作者：
Szilassy E;Barbosa EC;Dixon S;Feder G;Griffiths C;Johnson M;De Simoni A;Wileman V;Panovska-Griffiths J;Dowrick A
通讯作者：
Dowrick A