Discontinuity of care: is it undermining our response to domestic violence and abuse?

摘要

Domestic violence and abuse (DVA) is common and destructive, but tragically under-detected in primary care. DVA is relevant to healthcare professionals because it corrodes the physical and mental health of those affected. The impact of DVA is trans-generational, damaging the life chances of affected children. People affected by abuse are more likely to be in contact with the health service than any other agency.A study of women attending general practices in East London found that 41% had experienced physical or sexual violence in their lifetime and 17% in the past year.1 Survivors identify doctors as individuals they would disclose to, and GPs can be a crucial source of support.Domestic homicide reviews identify fragmented care as contributing to tragic outcomes.2 Continuity of care is a multifaceted concept, with relational, …