TY  - GEN
ID  - cogprints9098
UR  - http://cogprints.org/9098/
A1  - Ambuel, Dr. Bruce
A1  - Hamberger, Dr. L. Kevin
A1  - Guse, Clare
A1  - Melzer-Lange, Dr. Marlene
A1  - Phelan, Dr.  Mary Beth
A1  - Kistner, Amy 
TI  - Healthcare Can Change from Within: Sustained Improvement in the Healthcare Response to Intimate Partner Violence 
Y1  - 2013/09/23/
N2  - There is a great need to demonstrate sustained improvement in healthcare-based inquiry, intervention, and prevention provided to patients exposed to intimate partner violence (IPV).  We evaluated implementation of the Healthcare Can Change from Within model (HCCW) in three primary care clinics and an emergency department within a large healthcare system, using two other primary care clinics for a usual-care comparison on selected variables.  Outcome measures included individual-level variables (staff knowledge and attitudes) and system characteristics (clinic policies, procedures, patient education materials, and IPV documentation in patient records).  Doctors and nurses reported increased self-efficacy, understanding of referral resources, and understanding of legal issues; IPV knowledge was unchanged.  Intervention clinics implemented new policies and procedures, increased patient education, and increased documentation of IPV screening, an improvement which was sustained at 2-year follow-up.  Results suggest HCCW is a promising practice for improving the healthcare response to IPV.
AV  - public
KW  - intimate partner violence
KW  -  domestic violence
KW  -  intimate partner violence screening and inquiry
KW  -  systems change
KW  -  healthcare quality improvement
KW  -  violence prevention
KW  -  primary care
KW  -  emergency medicine
KW  -  healthy relationships
KW  -  pediatrics
ER  -

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