Addressing intimate partner violence in primary care: Lessons from chronic illness management

Christina Nicolaidis, Vasiliki Touhouliotis

Research output: Contribution to journalReview article

12 Scopus citations

Abstract

Though many studies have documented the high prevalence, morbidity, mortality and costs attributable to intimate partner violence (IPV), it is still unclear how our health care system should address this major public health problem. Many have advocated for routine screening, yet there is still insufficient evidence that routine IPV screening can lead to improved outcomes. Though recognition of IPV is very important, a screening paradigm may not be the optimal way to approach IPV within the health care system. For many patients, exposure to violence is a chronic condition, characterized by long-term abusive relationships, histories of childhood and community violence, multiple associated chronic symptoms, and extra barriers to addressing their other chronic illnesses. Thus, there may be important lessons to be learned from work being done in the area of chronic care. We explore how Wagner's Chronic Care model may guide efforts to improve health care for IPV survivors and may serve as a framework for future research studies.

Original languageEnglish (US)
Pages (from-to)101-115
Number of pages15
JournalViolence and Victims
Volume21
Issue number1
DOIs
StatePublished - Feb 2006

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Keywords

  • Chronic care model
  • Domestic violence
  • Research agenda

ASJC Scopus subject areas

  • Pathology and Forensic Medicine
  • Health(social science)
  • Law

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