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背景尽管基层医疗保健被认为是一个理想的环境,可以有效地对那些经历家庭暴力的人们做出应对,但是这些对策并没有作为日常卫生保健的一部分被广泛地融入。将基层医疗保健的家庭暴力应对评估工具作为指南进行开发,以在新西兰基层医疗保健环境下实施对家庭暴力的系统化引导式应对。鉴于在整合有效的、可持续的应对家庭暴力对策方面存在的困难,本文共享了基层医疗保健站点关于发展家庭暴力应对的经验,展示维持、发展和支撑应对家庭暴力所需的促进因素、障碍因素和资源。方法采用定性描述研究方法,从两个来源中收集数据。首先,在24个月对基层医疗保健站点的随访评估期间,进行半结构化焦点小组访谈,来获取维持、发展和支撑应对家庭暴力所需的促进因素、障碍和资源。其次,在对预防和干预家庭暴力感兴趣的基层医疗保健专家网络会议期间,记录小组活动的结果,来识别发展障碍以及实施策略的对策发展;跨两个数据源三角测量发现结果。结果 4个站点,分别代表参与焦点小组访谈的3种基层医疗组织和4种全科医疗实践;来自新西兰各地的35名代表出席了网络会议,这表示着在基层医疗保健中家庭暴力的应对发展处于一个更为广阔的视角。从“入门”“建立有效的关系”“筹集资金”“塑造一个应对家庭暴力的国民方法”4个主题识别发展应对家庭暴力的促进因素和障碍。结论致力于解决家庭暴力的关键人物的强有力的承诺对应对的可持续性至关重要,并会通过专门的资源将应对家庭暴力作为国家卫生目标进行优先处理而得到加强。作为一个复杂的适应系统,进一步分析卫生保健体系可为发展应对和整合健康体系的有效方法提供见解。
Background Although primary health care is considered an ideal environment that can effectively respond to those experiencing domestic violence, these responses are not broadly integrated as part of routine health care. Domestic violence response assessment tools for primary health care were developed as a guide to implement a systematic and lead-based response to domestic violence in New Zealand primary care settings. In the light of the difficulties in integrating effective and sustainable responses to domestic violence, this article shares the experience of developing responses to domestic violence at primary health care sites, demonstrating the enabling and sustaining factors needed to sustain, develop and support domestic violence. And resources. Methods Using qualitative description research methods, data are collected from two sources. First, a semi-structured focus group interview was conducted during a 24-month follow-up assessment of primary health care sites to capture the drivers, barriers and resources needed to sustain, develop and sustain domestic violence. Second, the results of the group activities were recorded during a network of primary health care professionals interested in preventing and intervening in domestic violence to identify developmental barriers and strategies for implementing the strategy; findings were triangulated across two data sources. Results Four sites, representing three primary care organizations and four general practice practices participating in focus group interviews, were attended by 35 participants from all over New Zealand, representing a response to domestic violence in primary health care In a broader perspective. Building Effective Relationships from “” “” Raising Funds “” Building a National Approach to Domestic Violence "4 Themes Identify the drivers and barriers to the development of domestic violence. Conclusion The strong commitment to address the key players in domestic violence is crucial to the sustainability of coping and is reinforced through the use of dedicated resources to prioritize domestic violence as a national health goal. As a complex adaptive system, further analysis of the health care system can provide insight into the development of effective ways to deal with and integrate health systems.