Domestic violence: diurnal mismatch between need and availability of services.
Acad Emerg Med
; 3(3): 246-51, 1996 Mar.
Article
em En
| MEDLINE
| ID: mdl-8673781
ABSTRACT
OBJECTIVE:
To determine whether a diurnal discordance exists between need and availability of services for victims of domestic violence.METHODS:
A consecutive sample of women presenting to a municipal hospital ED with physical injuries suspected to be related to domestic violence were entered into a registry. Date and time of presentation and perceived need for services information were collected from all patients who answered affirmatively a screening question for domestic violence and whose conditions did not preclude administration of the data collection instrument. The Social Service Departments of all of the 53 911-receiving hospitals in New York City were contacted to ascertain availability of social services for victims of domestic violence by time of day.RESULTS:
Twenty-eight of 32 (88%; 95% CI 71%, 97%) victims of domestic violence presented to the ED during hours other than weekday 9 AM to 5 PM. Of these, 63% desired counseling, 32% lacked a safe place to go, and 82% had children. Of those who had children, 48% were concerned for the children's safety. In-hospital social services were universally available weekday daytime (9 AM to 5 PM) but were available in only 11% of hospital (95% CI 4%, 23%) at other times.CONCLUSION:
Approximately nine of ten victims of domestic violence presented to the ED during hours when only about one hospital in ten can provide the special services these patients require. A marked diurnal mismatch appears to exist between availability of domestic violence services in New York City and the need for these services as measured by a representative sample drawn from an ED population.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Violência Doméstica
/
Intervenção em Crise
/
Acessibilidade aos Serviços de Saúde
/
Necessidades e Demandas de Serviços de Saúde
Tipo de estudo:
Observational_studies
/
Prevalence_studies
/
Risk_factors_studies
Limite:
Adult
/
Female
/
Humans
Idioma:
En
Revista:
Acad Emerg Med
Assunto da revista:
MEDICINA DE EMERGENCIA
Ano de publicação:
1996
Tipo de documento:
Article
País de afiliação:
Estados Unidos