[Requirements of good medical care for victims of violence and quality-assured "confidential securing of evidence". A qualitative study among physicians in Northrhine-Westphalia].
Voraussetzungen für eine gute medizinische Gewaltopferversorgung und eine qualitätsgesicherte „vertrauliche Spurensicherung“. Eine qualitative Studie mit Ärztinnen und Ärzten aus NRW.
Defensible documentation
Domestic violence
Gerichtsfeste Dokumentation
Gesundheitsversorgung
Health care services
Häusliche Gewalt
Sexual violence
Sexuelle Gewalt
iGOBSIS
Journal
Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen
ISSN: 2212-0289
Titre abrégé: Z Evid Fortbild Qual Gesundhwes
Pays: Netherlands
ID NLM: 101477604
Informations de publication
Date de publication:
Apr 2022
Apr 2022
Historique:
received:
05
07
2021
revised:
14
12
2021
accepted:
19
12
2021
pubmed:
23
2
2022
medline:
25
5
2022
entrez:
22
2
2022
Statut:
ppublish
Résumé
Sexual and domestic violence against women and young girls are widespread and can lead to significant psychological, psychosocial and health consequences for the victims. "Confidential Securing of Evidence" ("vertrauliche Spurensicherung", VSS) offers victims the opportunity to have the consequences of the violent acts they have suffered documented without primary police involvement, thus gaining time for decision-making. However, VSS and, in general, the care for victims of violence pose special challenges to physicians. In North Rhine-Westphalia, the documentation app iGOBSIS was developed in a project to support physicians in the care for victims of violence, especially in the VSS. The aim of the work was to clarify how physicians in North Rhine-Westphalia evaluate the functionality of violence victim care and VSS. Specifically, main deficits were to be identified, and suggestions and recommendations for optimizing care and VSS be explored. Interviews with 39 physicians were conducted in focus groups and analyzed using qualitative content analysis. Medical care for victims of violence and VSS are mainly complicated by stress and time constraints and lack of professional qualification. There is a need for more public relations and educational work, better professional qualification, consistent documentation and secure funding. Readily available forensic medical support for documentation that will hold up in court, secure funding, networking and public relations are important elements to ensure good medical care for victims of violence and a functional VSS.
Sections du résumé
BACKGROUND
BACKGROUND
Sexual and domestic violence against women and young girls are widespread and can lead to significant psychological, psychosocial and health consequences for the victims. "Confidential Securing of Evidence" ("vertrauliche Spurensicherung", VSS) offers victims the opportunity to have the consequences of the violent acts they have suffered documented without primary police involvement, thus gaining time for decision-making. However, VSS and, in general, the care for victims of violence pose special challenges to physicians. In North Rhine-Westphalia, the documentation app iGOBSIS was developed in a project to support physicians in the care for victims of violence, especially in the VSS.
OBJECTIVES
OBJECTIVE
The aim of the work was to clarify how physicians in North Rhine-Westphalia evaluate the functionality of violence victim care and VSS. Specifically, main deficits were to be identified, and suggestions and recommendations for optimizing care and VSS be explored.
MATERIALS AND METHODS
METHODS
Interviews with 39 physicians were conducted in focus groups and analyzed using qualitative content analysis.
RESULTS
RESULTS
Medical care for victims of violence and VSS are mainly complicated by stress and time constraints and lack of professional qualification. There is a need for more public relations and educational work, better professional qualification, consistent documentation and secure funding.
CONCLUSIONS
CONCLUSIONS
Readily available forensic medical support for documentation that will hold up in court, secure funding, networking and public relations are important elements to ensure good medical care for victims of violence and a functional VSS.
Identifiants
pubmed: 35190284
pii: S1865-9217(21)00227-0
doi: 10.1016/j.zefq.2021.12.007
pii:
doi:
Types de publication
Journal Article
Langues
ger
Sous-ensembles de citation
IM
Pagination
12-18Informations de copyright
Copyright © 2022. Published by Elsevier GmbH.