Résumé :
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[BDSP. Notice produite par INIST eBR0xQfH. Diffusion soumise à autorisation]. Context Although practice guidelines encouraging the screening of patients for intimate partner abuse have been available for several years, it is unclear how well and in which circumstances physicians adhere to them. Objective To describe the practices and perceptions of primary care physicians regarding intimate partner abuse screening and interventions. Design, Setting, and Participants Cross-sectional survey of a stratified probability sample of 900 physicians practicing family medicine, general internal medicine, and obstetrics/gynecology in California. After meeting exclusion criteria, 582 were eligible for participation in the study. Main Outcome Measure Reported abuse screening practices in a variety of clinic settings, based on a 24-item questionnaire, with responses compared by physician sex, practice setting, and intimate partner abuse training. Results Surveys were completed by 400 (69%) of the 582 eligible physicians, including 149 family physicians, 115 internists, and 136 obstetrician/gynecologists. Data were weighted to estimate the practices of primary care physicians in Califomia. An estimated majority (79% ; 95% confidence interval [Cl], 75% - 83%) of these primary care physicians routinely screen injured patients for intimate partner abuse. However, estimated routine screening was less common for new patient visits (10% ; 95% Cl, 7% - 13%), periodic checkups (9% ; 95% Cl, 6% - 12%), and prenatal care (11% ; 95% Cl, 7% - 15%). (...)
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