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Addressing intimate partner violence in primary care: lessons from chronic illness management.
Violence Vict. 2006 Feb; 21(1):101-15.VV

Abstract

Though many studies have documented the high prevalence, morbidity, mortality and costs attributable to intimate partner violence (IPV), it is still unclear how our health care system should address this major public health problem. Many have advocated for routine screening, yet there is still insufficient evidence that routine IPV screening can lead to improved outcomes. Though recognition of IPV is very important, a screening paradigm may not be the optimal way to approach IPV within the health care system. For many patients, exposure to violence is a chronic condition, characterized by long-term abusive relationships, histories of childhood and community violence, multiple associated chronic symptoms, and extra barriers to addressing their other chronic illnesses. Thus, there may be important lessons to be learned from work being done in the area of chronic care. We explore how Wagner's Chronic Care model may guide efforts to improve health care for IPV survivors and may serve as a framework for future research studies.

Authors+Show Affiliations

Nicolaidis C
Division of General Internal Medicine, Oregon Health and Science University, Portland 97239, USA. nicolaid@ohsu.edu
Touhouliotis V
No affiliation info available

MeSH

AdultChronic DiseaseCrime VictimsFemaleHumansMaleMiddle AgedPrimary Health CarePrimary PreventionRisk AssessmentSexual PartnersSpouse AbuseUnited StatesViolence

Pub Type(s)

Journal Article
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't
Review

Language

eng

PubMed ID

16494136

Citation

Nicolaidis, Christina, and Vasiliki Touhouliotis. "Addressing Intimate Partner Violence in Primary Care: Lessons From Chronic Illness Management." Violence and Victims, vol. 21, no. 1, 2006, pp. 101-15.
Nicolaidis C, Touhouliotis V. Addressing intimate partner violence in primary care: lessons from chronic illness management. Violence Vict. 2006;21(1):101-15.
Nicolaidis, C., & Touhouliotis, V. (2006). Addressing intimate partner violence in primary care: lessons from chronic illness management. Violence and Victims, 21(1), 101-15.
Nicolaidis C, Touhouliotis V. Addressing Intimate Partner Violence in Primary Care: Lessons From Chronic Illness Management. Violence Vict. 2006;21(1):101-15. PubMed PMID: 16494136.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Addressing intimate partner violence in primary care: lessons from chronic illness management. AU - Nicolaidis,Christina, AU - Touhouliotis,Vasiliki, PY - 2006/2/24/pubmed PY - 2006/4/28/medline PY - 2006/2/24/entrez SP - 101 EP - 15 JF - Violence and victims JO - Violence Vict VL - 21 IS - 1 N2 - Though many studies have documented the high prevalence, morbidity, mortality and costs attributable to intimate partner violence (IPV), it is still unclear how our health care system should address this major public health problem. Many have advocated for routine screening, yet there is still insufficient evidence that routine IPV screening can lead to improved outcomes. Though recognition of IPV is very important, a screening paradigm may not be the optimal way to approach IPV within the health care system. For many patients, exposure to violence is a chronic condition, characterized by long-term abusive relationships, histories of childhood and community violence, multiple associated chronic symptoms, and extra barriers to addressing their other chronic illnesses. Thus, there may be important lessons to be learned from work being done in the area of chronic care. We explore how Wagner's Chronic Care model may guide efforts to improve health care for IPV survivors and may serve as a framework for future research studies. SN - 0886-6708 UR - https://www.unboundmedicine.com/medline/citation/16494136/Addressing_intimate_partner_violence_in_primary_care:_lessons_from_chronic_illness_management_ DB - PRIME DP - Unbound Medicine ER -