Tags

Type your tag names separated by a space and hit enter

Comprehensive medical care for victims of sexual assault: a survey of Illinois hospital emergency departments.
Contraception 2008; 77(6):426-30C

Abstract

BACKGROUND

Sexual assault is a major public health problem affecting 17 million women in the United States. Hospital emergency departments (EDs) are often the primary point of care for these women. We propose the concept of "comprehensive medical care management" (CMCM) at the primary point of care for victims of sexual assault. The objectives of this study were (a) to describe medical care services provided to sexual assault victims presenting at the EDs in Illinois hospitals, and (b) to identify the percentage of hospitals that always provide all 10 elements of CMCM.

STUDY DESIGN

This is a cross-sectional prevalence study. A 14-item phone survey was administered to 187 eligible EDs in Illinois from July to September 2004. Outcome measures were the percentages of EDs that provide the elements of CMCM: (a) acute medical care; (b) history and physical exam; (c and d) acute and long-term rape crisis counseling; (e and f) prophylactic and therapeutic sexually transmitted infection (STI) management; (g and h) prophylactic and therapeutic HIV management; and (i and j) counseling and provision of emergency contraception.

RESULTS

An 83% response rate of eligible emergency rooms provided the following data: while 100% of emergency rooms provide acute medical care upon presentation, two thirds provide rape crises counseling, two thirds provide STI management, 4 of 10 report counseling and provision of emergency contraceptives, and only 28.2% provide HIV management. About 1 in 10 (9.6%) provides all elements of CMCM.

CONCLUSION

Although there are recommendations from various medical organizations for all 10 elements of CMCM for victims of sexual assault, very few hospitals provide CMCM. Improvements must be made to provide quality comprehensive care for victims of sexual assault.

Authors+Show Affiliations

Division of Family Planning, Department of Obstetrics and Gynecology, John H. Stroger, Jr., Hospital of Cook County, Chicago, IL 60612, USA. ashleshapatel16@yahoo.comNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

18477492

Citation

Patel, Ashlesha, et al. "Comprehensive Medical Care for Victims of Sexual Assault: a Survey of Illinois Hospital Emergency Departments." Contraception, vol. 77, no. 6, 2008, pp. 426-30.
Patel A, Panchal H, Piotrowski ZH, et al. Comprehensive medical care for victims of sexual assault: a survey of Illinois hospital emergency departments. Contraception. 2008;77(6):426-30.
Patel, A., Panchal, H., Piotrowski, Z. H., & Patel, D. (2008). Comprehensive medical care for victims of sexual assault: a survey of Illinois hospital emergency departments. Contraception, 77(6), pp. 426-30. doi:10.1016/j.contraception.2008.01.018.
Patel A, et al. Comprehensive Medical Care for Victims of Sexual Assault: a Survey of Illinois Hospital Emergency Departments. Contraception. 2008;77(6):426-30. PubMed PMID: 18477492.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Comprehensive medical care for victims of sexual assault: a survey of Illinois hospital emergency departments. AU - Patel,Ashlesha, AU - Panchal,Hemang, AU - Piotrowski,Zdzislaw H, AU - Patel,Daksha, Y1 - 2008/04/10/ PY - 2007/12/06/received PY - 2008/01/29/revised PY - 2008/01/30/accepted PY - 2008/5/15/pubmed PY - 2008/9/24/medline PY - 2008/5/15/entrez SP - 426 EP - 30 JF - Contraception JO - Contraception VL - 77 IS - 6 N2 - BACKGROUND: Sexual assault is a major public health problem affecting 17 million women in the United States. Hospital emergency departments (EDs) are often the primary point of care for these women. We propose the concept of "comprehensive medical care management" (CMCM) at the primary point of care for victims of sexual assault. The objectives of this study were (a) to describe medical care services provided to sexual assault victims presenting at the EDs in Illinois hospitals, and (b) to identify the percentage of hospitals that always provide all 10 elements of CMCM. STUDY DESIGN: This is a cross-sectional prevalence study. A 14-item phone survey was administered to 187 eligible EDs in Illinois from July to September 2004. Outcome measures were the percentages of EDs that provide the elements of CMCM: (a) acute medical care; (b) history and physical exam; (c and d) acute and long-term rape crisis counseling; (e and f) prophylactic and therapeutic sexually transmitted infection (STI) management; (g and h) prophylactic and therapeutic HIV management; and (i and j) counseling and provision of emergency contraception. RESULTS: An 83% response rate of eligible emergency rooms provided the following data: while 100% of emergency rooms provide acute medical care upon presentation, two thirds provide rape crises counseling, two thirds provide STI management, 4 of 10 report counseling and provision of emergency contraceptives, and only 28.2% provide HIV management. About 1 in 10 (9.6%) provides all elements of CMCM. CONCLUSION: Although there are recommendations from various medical organizations for all 10 elements of CMCM for victims of sexual assault, very few hospitals provide CMCM. Improvements must be made to provide quality comprehensive care for victims of sexual assault. SN - 0010-7824 UR - https://www.unboundmedicine.com/medline/citation/18477492/Comprehensive_medical_care_for_victims_of_sexual_assault:_a_survey_of_Illinois_hospital_emergency_departments_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0010-7824(08)00085-1 DB - PRIME DP - Unbound Medicine ER -