Effectiveness of anonymised information sharing and use in health service, police, and local government partnership for preventing violence related injury: experimental study and time series analysis
Effectiveness of anonymised information sharing and use in health service, police, and local government partnership for preventing violence related injury: experimental study and time series analysis
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DOI：
10.1136/bmj.d3313
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发表时间：
2011-06-16
影响因子：
105.7
通讯作者：
Simon, Thomas
中科院分区：
文献类型：
--
作者：
Florence, Curtis;Shepherd, Jonathan;Simon, Thomas
目的评价匿名信息共享预防暴力相关伤害的有效性。设计卫生服务、警察和地方政府合作伙伴之间旨在预防暴力的原型社区伙伴关系的实验研究和时间序列分析。设置卡迪夫，威尔士，和14个被英格兰和威尔士内政部指定为“最相似”的比较城市。干预经过33个月的发展期，与预防暴力有关的匿名数据（精确的暴力地点、时间、天数，和武器）来自卡迪夫急诊科的患者和报告暴力伤害的患者的信息在51个月内与警方和地方当局合作伙伴共享，并用于定向预防暴力的资源。相关的暴力和警方记录的伤口和不太严重的攻击后，调整潜在的混杂因素，在卡迪夫和其他城市。结果信息共享和使用与大量和显着减少暴力相关的入院治疗。在干预城市（卡迪夫），发病率从每10万人每月7例下降到5例，而在对照城市，发病率从5例上升到8例（调整后的发病率比为0.58，95%置信区间为0.49至0.69）。在卡迪夫，警方记录的平均受伤率从每月每10万人54起增加到82起，而在比较城市，受伤率从54起增加到114起（调整后的发病率比为0.68，0.61至0.75）。警方记录的不太严重的袭击事件大幅增加，卡迪夫的每10万人口每月从15起增加到20起，而相比之下，比较城市的每10万人口每月从42起减少到33起（调整后的发病率比为1.38，1.13 ~ 1.70）。结论威尔士卡迪夫的卫生服务、警察和地方政府之间的信息共享伙伴关系，根据从因暴力受伤后在急诊室接受治疗的病人那里收集的信息，改变了警务和其他预防暴力的战略。这种干预导致了暴力伤害的显着减少，并与增加警方记录的轻微攻击在卡迪夫相比，在英格兰和威尔士的类似城市，这种干预没有实施。
Objective To evaluate the effectiveness of anonymised information sharing to prevent injury related to violence.Design Experimental study and time series analysis of a prototype community partnership between the health service, police, and local government partners designed to prevent violence.Setting Cardiff, Wales, and 14 comparison cities designated "most similar" by the Home Office in England and Wales.Intervention After a 33 month development period, anonymised data relevant to violence prevention (precise violence location, time, days, and weapons) from patients attending emergency departments in Cardiff and reporting injury from violence were shared over 51 months with police and local authority partners and used to target resources for violence prevention.Main outcome measures Health service records of hospital admissions related to violence and police records of woundings and less serious assaults in Cardiff and other cities after adjustment for potential confounders.Results Information sharing and use were associated with a substantial and significant reduction in hospital admissions related to violence. In the intervention city (Cardiff) rates fell from seven to five a month per 100 000 population compared with an increase from five to eight in comparison cities (adjusted incidence rate ratio 0.58, 95% confidence interval 0.49 to 0.69). Average rate of woundings recorded by the police changed from 54 to 82 a month per 100 000 population in Cardiff compared with an increase from 54 to 114 in comparison cities (adjusted incidence rate ratio 0.68, 0.61 to 0.75). There was a significant increase in less serious assaults recorded by the police, from 15 to 20 a month per 100 000 population in Cardiff compared with a decrease from 42 to 33 in comparison cities (adjusted incidence rate ratio 1.38, 1.13 to 1.70).Conclusion An information sharing partnership between health services, police, and local government in Cardiff, Wales, altered policing and other strategies to prevent violence based on information collected from patients treated in emergency departments after injury sustained in violence. This intervention led to a significant reduction in violent injury and was associated with an increase in police recording of minor assaults in Cardiff compared with similar cities in England and Wales where this intervention was not implemented.