BARRIERS TO PHYSICIAN RECOGNITION OF DOMESTIC VIOLENCE

描述（改编自申请人摘要）：家庭暴力 使我们的社会付出了可怕的人力和经济代价。 医生可以 如果他们通过筛查发现病人， 受害，验证受害者的经验，记录发生， 暴力的影响，并适当地介绍受害者。 许多著名 专业和政府组织认为， 医生的保健活动。 然而，研究表明， 医生和病人很少讨论这个重要问题。 有很多 医生询问家庭暴力的障碍，以及 被殴打妇女向受害者披露其情况的详细情况的障碍 医生 由于这些障碍，医生经常误诊 被殴打的妇女，不适当地给她们开药， 使他们感到绝望和孤立， 不去注意或关心他们的困境。 令人惊讶的是，人们对防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个问题。 第一阶段将包括 深入采访了旧金山弗朗西斯科湾区100名紧急情况样本 内科医生、100名妇产科医生和100名初级保健医生 医生（普通内科医生和家庭医生），过采样 每个专业的女性。 第二阶段的活动将包括征聘 并对543名异质样本进行了深入访谈 被殴打的妇女，181人来自三个种族群体--白人，非洲人， 美国人和拉丁人 这项研究旨在确定阻碍医生和 受虐待妇女讨论家庭暴力，并确定 医生和被殴打的女病人的特点， 使这种讨论更有可能。 这些信息将是无价的， 使妇女能够获得尽可能最佳健康的未来干预措施 在乎

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.