Primary care response to domestic violence and abuse in the COVID-19 pandemic: interrupted time series and qualitative study

在2019冠状病毒病大流行期间，英国和全球有更多的人经历了家庭暴力和虐待（DVA），与施虐的伴侣、配偶或其他成年人困在一起。受害者很难披露虐待并寻求帮助。我们知道，许多受害者会选择向他们的家庭医生透露，特别是当他们被问及虐待时。在过去十年中，根据国家政策，越来越多的全科医生接受了如何询问和回应这些病人的培训，提供一般支持，并与当地DVA机构的专家支持建立关键联系。在大流行期间，与全科医生的大多数咨询都是通过电话或视频进行的，即使在封锁放松后，也很可能不会有更多的面对面咨询。在本研究提案中，我们将(i)衡量与大流行转诊前一年相比，在英格兰和威尔士的30个地区，全科医生转诊到DVA机构期间和之后的变化；（ii）探索全科医生是否以及如何设法安全地询问虐待，在远程咨询中提供支持和转诊，以及他们如何适应关于DVA的在线培训。

During the COVID-19 pandemic, more people in the UK and globally have experienced domestic violence and abuse (DVA), trapped in a home with an abusive partner, spouse or other adult. It is difficult for victims to disclose abuse and seek help. We know that many victims, would choose to disclose to their GP, particularly if they are asked about abuse. In the past decade - in line with national policy - more and more GPs have been trained in how to ask and respond to these patients, providing general support and a crucial link to expert support from local DVA agencies. During the pandemic most consultations with GPs have been via telephone or video and even once the lockdown is relaxed, it is likely that more consultations will not be face-to-face. In this research proposal we will (i) measure how GP referral to DVA agencies has changed in 30 areas in England and Wales during and after the lockdown compared to the year before the pandemic referral (ii) explore whether and how GPs have managed to ask safely about abuse, offering support and referral in remote consultations, and also how they have adapted to online training about DVA.