Show simple item record

dc.creatorFerris, Lorraine E.en
dc.creatorNorton, Peter G.en
dc.creatorDunn, Earl V.en
dc.creatorGort, Elaine H.en
dc.creatorDegani, Naushabaen
dc.date.accessioned2015-05-05T19:01:29Zen
dc.date.available2015-05-05T19:01:29Zen
dc.date.created1997-09-10en
dc.date.issued1997-09-10en
dc.identifier10.1001/jama.1997.03550100077043en
dc.identifier.bibliographicCitationJAMA. 1997 Sep 10; 278(10): 851-857.en
dc.identifier.issn0098-7484en
dc.identifier.urihttp://worldcatlibraries.org/registry/gateway?version=1.0&url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&atitle=Guidelines+for+Managing+Domestic+Abuse+when+Male+and+Female+Partners+are+Patients+of+the+Same+Physician.&title=JAMA.++&volume=278&issue=10&pages=851-857&date=1997&au=Ferris,+Lorraine+E.en
dc.identifier.urihttp://dx.doi.org/10.1001/jama.1997.03550100077043en
dc.identifier.urihttp://hdl.handle.net/10822/752677en
dc.description.abstractOBJECTIVE: To provide clinical guidelines for primary care physicians who are dealing with domestic abuse and who have both the abused woman and her partner as patients. PARTICIPANTS: A 15-member expert panel with members having experience in family practice, gynecology, emergency medicine, medical ethics, nursing, psychology, law, and social work; an 11-member consulting group with members representing medicine, consumers, police, psychology, social work, and nursing; and participants from focus groups including 48 previously abused women and 10 previously abusive men. Members of the expert panel and the consulting group were recruited by the research team. Focus group members were recruited through the agencies from which they were receiving services. EVIDENCE: Available research information, and opinions of the expert panel, the consulting group, and the focus group participants. CONSENSUS PROCESS: Scoring of 144 clinical scenarios was performed by the expert panel using a modified Delphi technique involving 4 iterations. Scenarios were rated in terms of best practice for primary care physicians dealing with suspected and confirmed cases of physical abuse. Consulting group members and focus group participants then commented on the panel's results. Final guidelines were approved by the panel and the consulting group, with comments reserved in the guidelines for information from focus group participants. CONCLUSIONS: It is not a conflict of interest for the physician to deal with abuse of the female partner when both partners are patients. Both patients have a right to autonomy, confidentiality, honesty, and quality care. Patients should be dealt with independently, thereby facilitating assessment of the magnitude and severity of the victim's injuries. Physicians should not discuss the possibility of domestic abuse with the male partner without the prior consent of the abused female partner. Joint counseling is generally inadvisable and should be attempted only when the violence has ended, provided both partners give independent consent and the physician has adequate training and skills to deal with the situation without escalating the violence. If the physician feels unable to deal effectively with either patient because of the dual relationship, referral to another qualified physician is preferred.en
dc.formatArticleen
dc.languageenen
dc.sourceBRL:MEDKIE/97438220en
dc.subjectAutonomyen
dc.subjectCommunicationen
dc.subjectConfidentialityen
dc.subjectConflict of Interesten
dc.subjectConsensusen
dc.subjectCounselingen
dc.subjectConsenten
dc.subjectConsultationen
dc.subjectEducationen
dc.subjectEthicsen
dc.subjectFamily Practiceen
dc.subjectFamily Relationshipen
dc.subjectFemalesen
dc.subjectFocus Groupsen
dc.subjectGuidelinesen
dc.subjectHealthen
dc.subjectHealth Careen
dc.subjectInjuriesen
dc.subjectLawen
dc.subjectMalesen
dc.subjectMedical Ethicsen
dc.subjectMedicineen
dc.subjectPatient Careen
dc.subjectPatient Educationen
dc.subjectPatientsen
dc.subjectPhysician Patient Relationshipen
dc.subjectPhysiciansen
dc.subjectPractice Guidelinesen
dc.subjectPrimary Health Careen
dc.subjectProfessional Family Relationshipen
dc.subjectProfessional Patient Relationshipen
dc.subjectPsychologyen
dc.subjectResearchen
dc.subjectRisken
dc.subjectViolenceen
dc.subjectNursing Ethicsen
dc.titleGuidelines for Managing Domestic Abuse When Male and Female Partners Are Patients of the Same Physicianen
dc.provenanceDigital citation created by the National Reference Center for Bioethics Literature at Georgetown University for the BIOETHICSLINE database, part of the Kennedy Institute of Ethics' Bioethics Information Retrieval Project funded by the United States National Library of Medicine.en
dc.provenanceDigital citation migrated from OpenText LiveLink Discovery Server database named NBIO hosted by the Bioethics Research Library to the DSpace collection BioethicsLine hosted by Georgetown University.en


This item appears in the following Collection(s)

Show simple item record


Georgetown University Seal
©2009—2022 Bioethics Research Library
Box 571212 Washington DC 20057-1212
202.687.3885