scholarly journals A Novel Way to Evaluate Health Care Utilization Characteristics of Intimate Partner Violence Victims

2013 ◽  
Vol 62 (4) ◽  
pp. S72-S73
Author(s):  
R. Hoelle ◽  
M.-C. Elie ◽  
N. Hardt ◽  
W. Hou ◽  
H. Yan ◽  
...  
Keyword(s):  
Health Care ◽  
Intimate Partner Violence ◽  
Health Care Utilization ◽  
Partner Violence ◽  
Intimate Partner ◽  
Care Utilization

scholarly journals Health Care Utilization and Costs Associated with Physical and Nonphysical-Only Intimate Partner Violence

2009 ◽  
Vol 44 (3) ◽  
pp. 1052-1067 ◽  
Author(s):  
Amy E. Bonomi ◽  
Melissa L. Anderson ◽  
Frederick P. Rivara ◽  
Robert S. Thompson
Keyword(s):  
Health Care ◽  
Intimate Partner Violence ◽  
Health Care Utilization ◽  
Partner Violence ◽  
Intimate Partner ◽  
Care Utilization

scholarly journals Preparing Pharmacists to Care for Patients Exposed to Intimate Partner Violence

Pharmacy ◽  
2020 ◽  
Vol 8 (2) ◽  
pp. 100
Author(s):  
Marie Barnard ◽  
Aaron White ◽  
Alicia Bouldin
Keyword(s):  
Health Care ◽  
Intimate Partner Violence ◽  
Health Care Providers ◽  
Partner Violence ◽  
Community Pharmacists ◽  
Public Health Problem ◽  
Intimate Partner ◽  
Care Utilization ◽  
Care Providers

Intimate partner violence (IPV) is a serious, highly prevalent public health problem associated with poor health outcomes, negative impacts on medication behavior, and increased health care utilization and costs. Pharmacists, the most accessible health care providers, are the only provider group not required to be trained on this topic. Training can prepare pharmacists to safely and appropriately care for patients experiencing IPV. This project evaluated a pharmacy-specific continuing professional development module on IPV utilizing a quasi-experimental pretest–posttest study design. Practicing community pharmacists were recruited from a market research panel to complete the online module. A novel method for managing IPV disclosures, the Care, Assess for safety, Refer, and Document (CARD) method, was included in the training. A total of 36 pharmacists completed the study, including a three-month follow-up assessment. Participants reported increased perceived preparedness and knowledge, workplace and self-efficacy, staff preparation, and legal requirements, but not actual knowledge. Practice changes, including identification of legal reporting requirements (19.4%) and development of protocols for managing IPV disclosures (13.9%), were reported at follow-up. This is the first examination of an educational module on the topic of IPV for pharmacists and it positively impacted pharmacists’ preparedness and practice behaviors related to IPV over an extended follow-up period.

scholarly journals Measuring Total Healthcare Utilization Among Intimate Partner Violence Survivors In Primary Care

2019 ◽  
Author(s):  
Mary E. Logeais ◽  
Qi Wang ◽  
Lynette M. Renner ◽  
Cari Jo Clark
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Intimate Partner Violence ◽  
Partner Violence ◽  
Intimate Partner ◽  
Care Utilization ◽  
Missed Appointments ◽  
Face To Face ◽  
Medical Complexity ◽  
Episodes Of Care

ABSTRACTRising health care costs are influenced by health care utilization, which encompasses hospital, ambulatory and non-face-to-face episodes of care. In this study, we created a novel a health care utilization-scoring tool that was used to examine whether one psychosocial factor, intimate partner violence (IPV), leads to higher utilization of health care services when controlling for relevant confounders. We sought to fill gaps about how social and behavioral issues impact utilization—particularly non-face-to-face episodes of care.We conducted a retrospective cross-sectional study in 2017 examining patients seen at 11 University-affiliated primary care clinics from January 2015 to December 2016 who were screened for IPV. A total of 31,305 patients were screened, of which 280 screened positive. We controlled for medical complexity by deriving the revised Charlson Comorbidity Index for each patient. We calculated a novel utilization score, which was a weighted sum of hospital, ambulatory and non-face-to-face encounters. Missed appointments were also measured.IPV-positive and IPV-negative patients were similar with respect medical complexity. IPV-positive patients had significantly higher mean utilization scores (54 vs. 40, p<0.001) and more missed appointments (3 vs. 1.3, p<0.001). IPV was associated with increased total utilization (p=0.015), as well as non-face-to-face and ambulatory visits (p=0.025 and p=0.015, respectively) for female patients and was associated with more missed appointments for both males and females (p< .001).These data support more inclusive population-specific interventions focusing on social determinants of health to reduce both face-to-face and non-face-to-face utilization, which may improve health care expenditures, outcomes and provider satisfaction.

Prevalence of Intimate Partner Violence Across Medical and Surgical Health Care Settings

2014 ◽  
Vol 20 (1) ◽  
pp. 118-136 ◽  
Author(s):  
Sheila Sprague ◽  
J. Carel Goslings ◽  
Celine Hogentoren ◽  
Simone de Milliano ◽  
Nicole Simunovic ◽  
...  
Keyword(s):  
Health Care ◽  
Intimate Partner Violence ◽  
Partner Violence ◽  
Intimate Partner ◽  
Health Care Settings

scholarly journals The Intergenerational Effects of Intimate Partner Violence in Pregnancy: Mediating Pathways and Implications for Prevention

2018 ◽  
Vol 21 (5) ◽  
pp. 964-976 ◽  
Author(s):  
Aja Louise Murray ◽  
Daniela Kaiser ◽  
Sara Valdebenito ◽  
Claire Hughes ◽  
Adriana Baban ◽  
...  
Keyword(s):  
Intimate Partner Violence ◽  
Partner Violence ◽  
Child Outcomes ◽  
Intimate Partner ◽  
Care Utilization ◽  
Maternal Fetal Attachment ◽  
Fetal Attachment ◽  
Meta Analyses ◽  
Mediating Pathways

Prenatal intimate partner violence (P-IPV) can have significant adverse impacts on both mother and fetus. Existing P-IPV interventions focus on the safety of the mother and on reducing revictimization; yet expanding these to address the adverse impact on the fetus has considerable potential for preventing long-term negative developmental outcomes. In this review, we draw together evidence on major pathways linking exposure to P-IPV and child outcomes, arguing that these pathways represent potential targets to improve P-IPV intervention efforts. Using a narrative review of 112 articles, we discuss candidate pathways linking P-IPV to child outcomes, as well as their implications for intervention. Articles were identified via key word searches of social science and medical databases and by inspection of reference lists of the most relevant articles, including recent reviews and meta-analyses. Articles were included if they addressed issues relevant to understanding the effects of P-IPV on child outcomes via six core pathways: maternal stress and mental illness, maternal–fetal attachment, maternal substance use, maternal nutritional intake, maternal antenatal health-care utilization, and infection. We also included articles relevant for linking these pathways to P-IPV interventions. We conclude that developing comprehensive P-IPV interventions that target immediate risk to the mother as well as long-term child outcomes via the candidate mediating pathways identified have significant potential to help reduce the global burden of P-IPV.

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