GPs' perception of their role in the identification and management of family violence

Chrystal Jaye

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Intimate Partner and Family Violence Primary Care and Health Outcomes Elder Abuse and Neglect

Abstract

OBJECTIVES: To examine the following: (1) GPs' perception of their role in identification and management of family violence in New Zealand, possible barriers and how these might be overcome and (2) opinions of GPs regarding the prevalence of family violence in their practices. METHODS: Three focus group (18 participants) discussions were conducted in 2002. Participants were GPs from southern New Zealand urban and rural general practices, Student Health and one medical officer from a provincial hospital. The groups' discussions were audio taped, transcribed, then analysed and coded using qualitative methodology. RESULTS: Participating GPs thought they were in a good position to identify and manage family violence but estimated prevalence in their practice populations was low. Barriers included perceived difficulty, complexity and stress in dealing with family violence. Lack of time, confidence or experience in dealing with family violence, lack of information and access to referral agencies were also noted. GPs felt powerless when victims would not change their situation. Dealing with the perpetrator was difficult. Training and coordinated support and referral systems could improve GPs' involvement with identification and management of family violence. CONCLUSIONS: The GPs' estimation of family violence prevalence in their practices is low compared to community-based research. Many issues affect the GP in identifying and managing family violence and must be considered in developing guidelines and training, referral systems and support for GPs.

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References

2002Health consequences of intimate partner violence 2006Prevalence of intimate partner violence: findings from the WHO multi-country study on women's health and domestic violence 2002Income inequality and population health 1992Primary care physicians' response to domestic violence. Opening Pandora's box 2002Should health professionals screen women for domestic violence? Systematic review 2002Identifying domestic violence: cross sectional study in primary care 2002Reported frequency of domestic violence: cross sectional survey of women attending general practice 2004Violence against women in New Zealand: prevalence and health consequences.

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