Physicians' Perceived Roles, as Well as Barriers, Toward Caring for Women Sex Assault Survivors
| Autor: | Judy C. Chang, Raquel Buranosky, Priyanka Amin |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Adult
Male Health Knowledge Attitudes Practice medicine.medical_specialty Health (social science) MEDLINE Psychological intervention Coding (therapy) Interpersonal communication Article Interviews as Topic Young Adult 03 medical and health sciences 0302 clinical medicine Nursing Obstetrics and gynaecology Physicians Maternity and Midwifery medicine Humans 0501 psychology and cognitive sciences 030212 general & internal medicine Young adult Physician's Role Crime Victims Qualitative Research Physician-Patient Relations business.industry 05 social sciences Public Health Environmental and Occupational Health Obstetrics and Gynecology Middle Aged Mental health Rape Family medicine Female business Delivery of Health Care 050104 developmental & child psychology Qualitative research |
| Zdroj: | Women's Health Issues. 27:43-49 |
| ISSN: | 1049-3867 |
| DOI: | 10.1016/j.whi.2016.10.002 |
| Popis: | Background Sexual assault (SA) affects about 40% of women in the United States and has many mental and physical health sequelae. Physicians often do not address SA with patients, although SA survivors describe a desire to talk to physicians to obtain additional help. Little information exists on how providers perceive their roles regarding caring for women SA survivors and what barriers they face in providing this care. Methods We performed a qualitative study using semistructured one-on-one interviews with 16 faculty physicians from five specialties: obstetrics and gynecology ( n = 4), internal medicine ( n = 4), family medicine ( n = 1), emergency medicine ( n = 3), and psychiatry ( n = 4). Interviews were conducted between July 2011 and July 2012, transcribed verbatim, and coded using a constant comparative approach. Once a final coding scheme was applied to all transcripts, we identified patterns and themes related to perceived roles and barriers to caring for SA survivors. Results Physicians described two main categories of roles: clinical tasks (e.g., testing and treating for sexually transmitted infections, managing associated mental health sequelae) and interpersonal roles (e.g., providing support, acting as patient advocate). Physician barriers fell into three main categories: 1) internal barriers (e.g., discomfort with the topic of SA), 2) physician–patient communication, and 3) system obstacles (e.g., competing priorities for time). Conclusions Although physicians describe key roles in caring for SA survivors, several barriers hinder their ability to fulfill these roles. Training interventions are needed to reduce the barriers that would ultimately improve clinical care for SA survivors. |
| Databáze: | OpenAIRE |
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