@article{ref1,
title="Domestic violence: variation in case-management by the general practitioner in Belgium",
journal="International journal of public health",
year="2009",
author="Bossuyt, Nathalie and Van Casteren, V.",
volume="54",
number="2",
pages="106-111",
abstract="OBJECTIVES: to describe the medical interventions and referrals carried out by the general practitioner (GP) when taking care of victims and to quantify the between-physician variability in management of domestic violence.METHODS: A nationwide sentinel network of 150 general practitioners, covering 1.5 % of the Belgian population, registered in 2002-2004 all episodes of domestic violence for which they were consulted, via paper registration forms. A multilevel analysis was carried out by fitting a random effects logistic regression model for every intervention/referral.RESULTS: The most frequent interventions of the GP were providing a certificate of injury (54 %), and making an appointment for a next visit (33 %). Half of the patients were referred or hospitalised upon the first consultation, most frequently they were advised to go to the police (17 %) or referred to a psychologist or psychiatrist (11 %). The intra cluster correlation coefficient (ICC) of the interventions varied between 11 % and 39 % and the median odds ratios between 1,82 and 3,96.CONCLUSIONS: GP consultations for domestic violence are frequent and involve considerable between-physician variability in care.<p /> <p>Language: en</p>",
language="en",
issn="1661-8556",
doi="10.1007/s00038-009-7074-0",
url="http://dx.doi.org/10.1007/s00038-009-7074-0"
}