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November 5, 2007'You're not a victim of domestic violence, are you?' |
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From EurekAlert! - Breaking News: Doctors who ask the right questions in the right way can successfully encourage abused women to reveal that they are victims of domestic violence, even in a hectic emergency department, a team of researchers from the United States and Canada has found. The study of doctor/patient discussions of domestic violence in emergency departments, the first such work in more than 25 years, appears in the Nov. 6 issue of the Annals of Internal Medicine. The researchers reviewed 871 doctor-patient interactions audiotaped in an urban and a suburban emergency department. About a third of these interactions included screening for domestic violence. "As we looked at the transcripts we noticed that asking about domestic violence was often very routinized and similar to asking about health behaviors such as smoking or allergies. According to Dr. Frankel, who is a medical sociologist specializing in doctor-patient communication, patients were more likely to disclose experiences with abuse when providers used open-ended questions to initiate the topic of domestic abuse and probed for abuse by asking at least one follow-up question. "Taking the time to be empathic, voicing concern, checking to be sure that the patient is not in any current danger, and reinforcing the importance of following up with referrals are all part of effective provider-patient communication that can stop domestic violence," said Dr. Frankel.
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