{"pk":17938,"title":"Rural-Urban Disparities in Emergency Department Intimate Partner Violence Resources","subtitle":null,"abstract":"Objective: Little is known about availability of resources for managing intimate partner violence (IPV) at rural hospitals. We assessed differences in availability of resources for IPV screening and management between rural and urban emergency departments (EDs) in Oregon.   Methods: We conducted a standardized telephone interview of Oregon ED directors and nurse managers on six IPV-related resources: official screening policies, standardized screening tools, public displays regarding IPV, on-site advocacy, intervention checklists and regular clinician education. We used chi-square analysis to test differences in reported resource availability between urban and rural EDs.   Results: Of 57 Oregon EDs, 55 (96%) completed the survey. A smaller proportion of rural EDs, compared to urban EDs, reported official screening policies (74% vs. 100%, p=0.01), standardized screening instruments (21% vs. 55%, p=0.01), clinician education (38% vs. 70%, p=0.02) or on-site violence advocacy (44% vs. 95%, p<0.001). Twenty-seven percent of rural EDs had none or one of the studied resources, 50% had two or three, and 24% had four or more (vs. 0%, 35%, and 65% in urban EDs, p=0.003). Small, remote rural hospitals had fewer resources than larger, less remote rural hospitals or urban hospitals.   Conclusion: Rural EDs have fewer resources for addressing IPV. Further work is needed to identify specific barriers to obtaining resources for IPV management that can be used in all hospital settings. [West J Emerg Med. 2011;12(2):178-183.]","language":"en","license":{"name":"Creative Commons Attribution-NonCommercial  4.0","short_name":"CC BY-NC 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc/4.0"},"keywords":[{"word":"intimate partner violence"},{"word":"domestic violence"},{"word":"rural health"},{"word":"access to health care"},{"word":"Emergency Medicine"},{"word":"Health Services Research"},{"word":"Other Public Health"}],"section":"Public Health","is_remote":true,"remote_url":"https://escholarship.org/uc/item/83n18707","frozenauthors":[{"first_name":"Esther","middle_name":"K","last_name":"Choo","name_suffix":"","institution":"Rhode Island Hospital, Department of Emergency Medicine, Alpert Medical School of Brown University, Providence, RI","department":"None"},{"first_name":"Craig","middle_name":"D","last_name":"Newgard","name_suffix":"","institution":"Center for Policy and Research in Emergency Medicine, Department of Emergency Medicine, Oregon Health & Science University, Portland, OR","department":"None"},{"first_name":"Robert","middle_name":"A","last_name":"Lowe","name_suffix":"","institution":"Center for Policy and Research in Emergency Medicine, Department of Emergency Medicine, Oregon Health & Science University, Portland, OR","department":"None"},{"first_name":"Michael","middle_name":"K","last_name":"Hall","name_suffix":"","institution":"University of California, San Francisco, Department of Emergency Medicine, San Francisco, CA","department":"None"},{"first_name":"K","middle_name":"John","last_name":"McConnell","name_suffix":"","institution":"Center for Policy and Research in Emergency Medicine, Department of Emergency Medicine, Oregon Health & Science University, Portland, OR","department":"None"}],"date_submitted":"2010-01-14T16:00:00+08:00","date_accepted":"2010-01-14T16:00:00+08:00","date_published":"2011-03-23T15:00:00+08:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/17938/galley/9153/download/"}]}