Primary care experiences of women with a history of childhood trauma and chronic disease: Trauma-informed care approach.
Can Fam Physician
; 64(3): 204-211, 2018 03.
Article
em En
| MEDLINE
| ID: mdl-29540391
ABSTRACT
OBJECTIVE:
To understand the primary care experiences of women who have a history of childhood trauma and chronic disease.DESIGN:
Qualitative study using in-depth interviews with directed content analysis.SETTING:
Family health team in Kingston, Ont.PARTICIPANTS:
Twenty-six women.METHODS:
Letters of invitation were sent to eligible participants followed by a telephone survey. Women with an adverse childhood experience (ACE) score of 4 or higher and with 2 or more chronic conditions were invited to participate in a one-on-one interview. MAINFINDINGS:
Participants were frequent users of health care services. Most had not been asked about ACEs by their family physicians. Most participants believed that their history of ACEs was important to their health and that providers should ask about childhood experiences. When participants discussed their primary care experiences, the following 6 common themes evolved the importance of continuity of care; challenges with family medicine residents; provider awareness of abuse history; distress due to triggering events; characteristics of clinic staff and space; and engagement in care plans and choice. These discussions revealed that participants' primary care experiences were not always informed by the principles of trauma-informed care.CONCLUSION:
Understanding the effect of ACEs on women's health is important. Incorporating a trauma-informed approach can be beneficial and enhance the experience of patients. Physicians should learn to ask patients about their childhood experiences, as it is important to their health care.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Atenção Primária à Saúde
/
Doença Crônica
/
Adultos Sobreviventes de Eventos Adversos na Infância
/
Anamnese
Tipo de estudo:
Qualitative_research
Limite:
Female
/
Humans
Idioma:
En
Ano de publicação:
2018
Tipo de documento:
Article