BARRIERS TO PHYSICIAN RECOGNITION OF DOMESTIC VIOLENCE

描述(改编自申请人摘要)：家庭暴力 给我们的社会带来了可怕的人力和经济代价。医生可以 如果被虐待的妇女接受筛查以发现患者，她们将得到极大的帮助 受害，确认受害者的经历，记录发生的情况和 委员会还注意到了暴力的影响，并适当地介绍了受害者。许多有声望的 专业和政府组织认为这些是适当的 医生的保健活动。然而，研究表明， 医生和病人很少讨论这一至关重要的问题。有很多 医生询问家庭暴力的障碍，以及 阻碍受虐妇女披露她们的详细情况 医生。由于这些障碍，医生经常误诊。 虐待妇女，不适当地给她们开药，以及 让他们感到绝望和孤立感的人 没有注意到或关心他们的困境。 令人惊讶的是，人们对阻止受虐妇女的障碍知之甚少 和医生谈论家庭暴力。调查人员 建议分两个阶段研究这一问题。第一阶段将包括 对旧金山湾区100个紧急事件样本的深入采访 内科医生、100名产科/妇科医生和100名初级保健医生 医生(普通内科医生和家庭医生)，过度抽样 来自每个专业的女性。第二阶段的活动将包括招聘 并对543名异质样本进行了深入访谈 受虐妇女，来自三个民族各181人--高加索人、非洲人 美国人和拉丁人。 这项研究旨在找出阻止医生和 防止被虐待妇女讨论家庭暴力，并查明 医生和受虐女性患者的特征 使这样的讨论更有可能。这些信息将是无价的 未来的干预措施使妇女能够获得尽可能好的健康 关心。

DESCRIPTION (Adapted from the Applicant's Abstract): Domestic violence exacts terrible human and economic costs from our society. Physicians could help battered women tremendously if they screened to uncover patient victimization, validated victims' experience, documented the occurrence and effects of violence, and referred victims appropriately. Many prestigious professional and governmental organizations believe these are appropriate health care activities for physicians. However, studies show that physicians and patients rarely discuss this vital issue. There are many barrier to physicians' inquiring about domestic violence, as well as barriers to battered women disclosing details about their situation to physicians. Because of these barriers, physicians often misdiagnose battered women, prescribe medications inappropriately to them, and contribute to their feeling of hopelessness and isolation by appearing to not notice or care about their plight. Surprisingly little is known about the barriers that prevent battered women and physicians from speaking about domestic violence. The investigators propose a two-phase study to examine this issue. Phase I will consist of in-depth interviews with a San Francisco Bay Area sample of 100 emergency medicine physicians, 100 obstetrician/gynecologists, and 100 primary care physicians (general internist and family practice physicians), oversampling women from each specialty. Phase II activities will consist of recruiting and conducting in-depth interviews with a heterogenous sample of 543 battered women, 181 from each of three ethnic groups--Caucasian, African American, and Latina. This research aims to identify the barriers that prevent physicians and battered women from discussing domestic violence, and to ascertain the characteristics of physicians and battered women patients that contribute to making such discussions more likely. This information will be invaluable to future interventions enabling women to receive the best possible health care.