عنوان

Rural-Urban Disparities in Emergency Department Intimate Partner Violence Resources

Number

LA83n18707

.Language of Text, Soundtrack etc

انگلیسی

Title Proper

Rural-Urban Disparities in Emergency Department Intimate Partner Violence Resources

General Material Designation

[Article]

First Statement of Responsibility

Choo, Esther K; Newgard, Craig D; Lowe, Robert A; Hall, Michael K; McConnell, K John

Text of Note

Objective: Little is known about availability of resources for managing intimate partner violence (IPV) at rural hospitals. We assessed differences in availability of resources for IPV screening and management between rural and urban emergency departments (EDs) in Oregon. Methods: We conducted a standardized telephone interview of Oregon ED directors and nurse managers on six IPV-related resources: official screening policies, standardized screening tools, public displays regarding IPV, on-site advocacy, intervention checklists and regular clinician education. We used chi-square analysis to test differences in reported resource availability between urban and rural EDs. Results: Of 57 Oregon EDs, 55 (96%) completed the survey. A smaller proportion of rural EDs, compared to urban EDs, reported official screening policies (74% vs. 100%, p=0.01), standardized screening instruments (21% vs. 55%, p=0.01), clinician education (38% vs. 70%, p=0.02) or on-site violence advocacy (44% vs. 95%, p<0.001). Twenty-seven percent of rural EDs had none or one of the studied resources, 50% had two or three, and 24% had four or more (vs. 0%, 35%, and 65% in urban EDs, p=0.003). Small, remote rural hospitals had fewer resources than larger, less remote rural hospitals or urban hospitals. Conclusion: Rural EDs have fewer resources for addressing IPV. Further work is needed to identify specific barriers to obtaining resources for IPV management that can be used in all hospital settings. [West J Emerg Med. 2011;12(2):178-183.]

Date of Publication

2011

Title

Western Journal of Emergency Medicine: Integrating Emergency Care with Population Health

Volume Number

12/2

Entry Element

Choo, Esther K; Newgard, Craig D; Lowe, Robert A; Hall, Michael K; McConnell, K John

Electronic name

[Article]

275578

a

Y