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首页> 外文期刊>BMC Health Services Research >Establishing Sexual Assault Care Centres in Belgium: health professionals’ role in the patient-centred care for victims of sexual violence
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Establishing Sexual Assault Care Centres in Belgium: health professionals’ role in the patient-centred care for victims of sexual violence

机译：在比利时建立性侵犯护理中心：医疗专业人员在以患者为中心的性暴力受害者护理中的作用

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Having ratified the Convention of Istanbul, the Belgian federal government commits itself to the foundation of Sexual Assault Care Centres (SACC). In the light of researching the feasibility of these centres, this study aimed to evaluate the care for victims of sexual violence (SV) in Belgian hospitals anno 2016 as well as to formulate recommendations for the intended model. Between April and October 2016, a questionnaire was distributed to 159 key health professionals active in 17 different hospitals attached to an AIDS Referral Centre. The survey covered four parts, i.e. the health professionals’ profile, their knowledge, attitude and practices, an assessment of the hospital’s policy and the caregivers’ opinion on the care for victims of SV and on the intended SACCs. Subsequently, a descriptive analysis using ‘IBM SPSS Statistics 23’ was performed. A total of 60 key health professionals representing 15 different hospitals completed the questionnaire resulting in a response rate of 38%. The results showed a lack of knowledge and practical experience of caregivers’ regarding the care for SV victims. Approximately 30% of responders face personal or professional difficulties upon provision of care to victims of SV. Participants evaluate the current care as good, despite the limited psychosocial support, follow-up, insight for the needs of vulnerable groups and support for family, relatives and health professionals. Yet, the majority of health professionals appraise the SACCs as the best approach for both victims and caregivers. By introducing a SACC, the Belgian federal government aims to provide holistic and patient-centred care for victims of SV. Essential in patient-centred health care is an extensive and continuous education, training and supervision of health professionals concerning the care for victims, support for family, relatives and caregivers. At the end and as a result of a participatory process with many professional experts as well as victims, a specific Belgian model, adjusted to the health care system anno 2016 was developed for piloting. The main challenges in establishing SACCs are situated at the institutional and policy level. Collaborating with other institutions and further research are herewith required.
机译：比利时伊斯坦布尔政府批准了《伊斯坦布尔公约》后，致力于建立性侵犯护理中心（SACC）。根据对这些中心的可行性进行研究，本研究旨在评估比利时医院在2016年11月前对性暴力受害者的护理，并针对预期模式制定建议。在2016年4月至2016年10月期间，向在AIDS转诊中心附设的17家不同医院中活跃的159名关键卫生专业人员分发了一份调查表。该调查涵盖四个部分，即卫生专业人员的个人资料，他们的知识，态度和做法，对医院政策的评估以及护理人员对照顾SV患者和预期的SACC的意见。随后，使用“ IBM SPSS Statistics 23”进行了描述性分析。代表15家不同医院的60位主要卫生专业人员完成了问卷，答复率为38％。结果表明，护理人员对SV受害者的护理缺乏知识和实践经验。在为SV受害者提供护理时，大约30％的响应者面临个人或专业困难。尽管心理社会支持，随访，对弱势群体需求的洞察力以及对家庭，亲戚和卫生专业人员的支持有限，参与者仍认为当前的护理状况良好。但是，大多数卫生专业人员都认为SACC是受害者和照料者的最佳方法。比利时联邦政府通过引入SACC，旨在为SV受害者提供整体和以患者为中心的护理。在以患者为中心的医疗保健中必不可少的是，对医疗专业人员进行广泛而持续的教育，培训和监督，涉及对受害者的护理，对家庭，亲戚和照顾者的支持。最后，由于许多专业专家和受害者的参与过程，开发了一种针对比利时的特定模型，该模型已针对2016年一月的医疗保健系统进行了调整，以进行试点。建立SACC的主要挑战在于机构和政策层面。因此需要与其他机构合作和进一步研究。

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