Claire Gear, C. Ting, Carey Manuel, E. Eppel, Jane Koziol-McLain
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引用次数: 0
摘要
导言:家庭暴力是一个复杂的问题,严重影响着人们的健康和幸福。尽管提供综合家庭暴力服务的呼声无处不在,但综合方法却大相径庭,实施起来仍面临挑战。本次范围界定审查探讨了国际文献和新西兰奥特亚罗瓦(Aotearoa New Zealand)文献是如何对提供家庭暴力服务的综合方法进行概念化的。方法:根据文献中确定的范围界定审查程序,在复杂性理论视角的帮助下,对家庭暴力综合服务提供中系统代理之间的动态相互作用进行了映射。我们分析了纳入研究的特点、涉及的代理机构、它们之间的互动方式以及它们之间的整合方法和机制。结果:共纳入 72 份已发表的报告。最常见的互动发生在警察和儿童保护等法定机构之间。虽然有 55 项研究纳入了医疗保健服务提供者,但他们的参与往往是边缘性的。定性分析阐明了以系统为中心、以人为本或以土著为中心的世界观对提供服务产生影响的三大途径。讨论与结论:提供家庭暴力服务的综合方法差异很大。尽管有一种强烈的假定,即综合服务会改善寻求照顾者的安全、健康和福祉,但大多数研究并没有包含这种影响的证据。考虑到世界观如何成为服务提供的特征,我们可以深入了解为什么长期以来整合服务被证明具有挑战性。
Integrated System Responses for Families Impacted by Violence: A Scoping Review
Introduction: Violence within families is a complex problem which significantly impacts health and wellbeing. Despite the ubiquitous call for integrated family violence service delivery, integrated approaches vary significantly and challenges to implementation remain. This scoping review explored how integrated approaches to family violence service delivery are conceptualised within international and Aotearoa New Zealand literature. Methods: Following a documented scoping review process identified from literature, dynamic interplay between system agents within integrated family violence service delivery were mapped with the assistance of a complexity theory lens. We analysed characteristics of included studies, agents involved, how they interacted and the methods and mechanisms of integration among them. Results: Seventy-two published reports were included. The most common interactions occurred between statutory agencies such as police and child protection. While health care service providers were included within 55 studies, their engagement was often peripheral. Qualitative analysis elucidated three broad pathways to service delivery impact underpinned by systems-centred, person-centred, or Indigenous-centred worldviews. Discussion and Conclusion: Integrated approaches to family violence service delivery are highly variable. Despite a strong assumption that integration leads to improved safety, health, and wellbeing for care-seekers, most studies did not include evidence of such impact. Consideration of how worldviews characterise service provision provides insight into why integration has proven challenging over time.
期刊介绍:
Established in 2000, IJIC’s mission is to promote integrated care as a scientific discipline. IJIC’s primary purpose is to examine critically the policy and practice of integrated care and whether and how this has impacted on quality-of-care, user experiences, and cost-effectiveness.
The journal regularly publishes conference supplements and special themed editions. To find out more contact Managing Editor, Susan Royer.
The Journal is supported by the International Foundation for Integrated Care (IFIC).