A Multisite Quality Improvement Initiative to Enhance the Adoption of Screening Practices for Intimate Partner Violence Into Routine Primary Care for Women Veterans.

Public Health Reports
Galina A PortnoyMegan R Gerber

Abstract

The Veterans Health Administration established comprehensive women's health clinics (CWHCs) to provide coordinated, high-quality primary care to women veterans. Intimate partner violence (IPV) is prevalent among women using these clinics. The Veterans Health Administration recommends screening women for IPV, yet screening uptake is low in CWHCs nationwide. We describe a multisite quality improvement initiative to enhance the adoption of IPV screening practices in the Veterans Health Administration's CWHCs. This quality improvement initiative, implemented in 2017-2018, included 4 steps in which we (1) conducted a baseline survey of screening practices at CWHCs throughout the United States; (2) selected and tailored evidence-based implementation strategies based on identified barriers and facilitators; (3) deployed multicomponent implementation support, targeting low-adopting facilities; and (4) conducted a follow-up survey to evaluate changes in IPV screening practices from baseline (winter 2017) to 1-year follow-up (winter 2018) using quantitative and qualitative analyses. Responders from 62 CWHC sites provided information on IPV screening practices and barriers; 42 low-adopting sites were targeted for implementation support. A...Continue Reading

References

Apr 20, 2002·Lancet·Jacquelyn C Campbell
Jul 8, 2011·Women's Health Issues : Official Publication of the Jacobs Institute of Women's Health·Melissa E DichterRobert M Bossarte
Nov 11, 2011·Violence Against Women·Janice HumphreysChristine Miaskowski
Feb 11, 2014·Journal of Women's Health·Megan R GerberRachel E Latta
Jan 28, 2015·Journal of Traumatic Stress·Katherine M IversonDawne Vogt
Aug 1, 2015·Women's Health Issues : Official Publication of the Jacobs Institute of Women's Health·Melissa E DichterKatherine M Iverson
Feb 18, 2017·American Journal of Preventive Medicine·Melissa E DichterKatherine M Iverson
Oct 26, 2018·JAMA : the Journal of the American Medical Association·UNKNOWN US Preventive Services Task ForceJohn B Wong
Aug 20, 2019·Journal of General Internal Medicine·Katherine M IversonMegan R Gerber

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