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TY - GEN ID - cogprints9098 UR - http://cogprints.org/9098/ A1 - Ambuel, Dr. Bruce A1 - Hamberger, Dr. L. Kevin A1 - Guse, Clare A1 - Melzer-Lange, Dr. Marlene A1 - Phelan, Dr. Mary Beth A1 - Kistner, Amy TI - Healthcare Can Change from Within: Sustained Improvement in the Healthcare Response to Intimate Partner Violence Y1 - 2013/09/23/ N2 - There is a great need to demonstrate sustained improvement in healthcare-based inquiry, intervention, and prevention provided to patients exposed to intimate partner violence (IPV). We evaluated implementation of the Healthcare Can Change from Within model (HCCW) in three primary care clinics and an emergency department within a large healthcare system, using two other primary care clinics for a usual-care comparison on selected variables. Outcome measures included individual-level variables (staff knowledge and attitudes) and system characteristics (clinic policies, procedures, patient education materials, and IPV documentation in patient records). Doctors and nurses reported increased self-efficacy, understanding of referral resources, and understanding of legal issues; IPV knowledge was unchanged. Intervention clinics implemented new policies and procedures, increased patient education, and increased documentation of IPV screening, an improvement which was sustained at 2-year follow-up. Results suggest HCCW is a promising practice for improving the healthcare response to IPV. AV - public KW - intimate partner violence KW - domestic violence KW - intimate partner violence screening and inquiry KW - systems change KW - healthcare quality improvement KW - violence prevention KW - primary care KW - emergency medicine KW - healthy relationships KW - pediatrics ER -