Dept. of Public Health and Preventive Medicine
Oregon Health & Science University
Importance: Intimate partner violence (IPV) affects 1.9 million U.S. women each year and is associated with high-risk health behaviors and increased medical and mental health needs. However, IPV remains a challenge for healthcare providers to identify. Study Objective: To assess the association between hospital IPV policies and services and the likelihood of IPV diagnosis in the emergency department (ED) in a statewide sample of Oregon hospitals. Methods: Using billing data assembled from 21 Oregon EDs from 2001 to 2005, we identified patients assigned a discharge diagnosis of IPV. We then surveyed ED administrators to gain information about IPV-related policies and services offered by the participating hospitals during the same time period. We combined billing data, survey results and hospital-level variables. Multivariate analysis assessed the likelihood of receiving a diagnosis of IPV depending on the policies and services available at each hospital. Results: In 754,597 adult female ED visits, IPV was diagnosed 1,929 times (0.26% of visits). Mandatory IPV screening and victim advocates (such as social workers) were the most commonly available IPV policies and services. The diagnosis of IPV was independently associated with the use of a standardized intervention checklist (OR 1.79, 95% CI 1.13-2.85). Public displays regarding IPV were negatively associated with IPV diagnosis (OR 0.55, 95% CI 0.37-0.83). Conclusion: Hospital-level policies and services such as standardized intervention checklists may improve the ability of clinicians to diagnose IPV.
School of Medicine
Choo, Esther K., "The association between hospital policies and services and the emergency department diagnosis of intimate partner violence" (2009). Scholar Archive. 468.