Increasing Physician Inquiry for Intimate Partner Violence in a Family Medicine Setting: Placing a Screening Prompt on the Patient Record

We investigated the impact of a prompt on patient records reminding physicians to inquire about intimate partner violence (IPV) during a complete history and physical examination. During the baseline, education-only period, 2% of women patients had documented domestic violence inquiry. Following add...

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Bibliographic Details
Published in:Journal of aggression, maltreatment & trauma maltreatment & trauma, 2010-12, Vol.19 (8), p.839-852
Main Authors: Hamberger, L. Kevin, Guse, Clare E., Patel, Darshana, Griffin, Erica
Format: Article
Language:English
Subjects:
Adult
Biological and medical sciences
Diagnosis
Domestic violence
domestic violence and health
domestic violence screening
Family Violence
Females
Graphs
health care domestic violence response
Health staff related problems. Vocational training
Medical records
Medical sciences
Medical screening
Medicine
Mental health
Nurses
Organization of mental health. Health systems
Partner Abuse
Patients
Physical examinations
Physicians
Primary care
Primary Health Care
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Social psychiatry. Ethnopsychiatry
Victimology
Womens health
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Summary:We investigated the impact of a prompt on patient records reminding physicians to inquire about intimate partner violence (IPV) during a complete history and physical examination. During the baseline, education-only period, 2% of women patients had documented domestic violence inquiry. Following addition of the chart prompt, 92% of women received documented IPV screening. Following chart prompt removal, the percentage of women with documented screening was 36%, and the overall percentage screened, including those inquiries documented in the chart and those documented only by a nurse following the visit, was 72%. These findings suggest that a written prompt to ask about IPV increases inquiry rates among primary care physicians. Study implications and limitations are discussed.
ISSN:1092-6771
1545-083X
DOI:10.1080/10926771.2010.522950