ArticleBMC health services research2022
Health practitioners' perceptions of structural barriers to the identification of intimate partner abuse: a qualitative meta-synthesis.
Article in BMC health services research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 2 of them syntheses that pooled it.
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Who cites it
36 citing papers in PubMed, 2 syntheses or guidelines pooled it, 71 citations in OpenAlex.
- Factors affecting women's disclosure of domestic abuse and healthcare professionals' preparedness to identify and respond: a systematic literature review.Frontiers in global women's health · 2026Pooled it
- Primary healthcare practitioners' perspectives on trauma-informed primary care: a systematic review.BMC primary care · 2024Pooled it
- Integrating Intimate Partner Violence Screening Programs in Primary Care: Results from a Hybrid-II Implementation-Effectiveness RCT.American journal of preventive medicine · 2023Trial
- Revictimization and Mental Health Service Use in Intimate Partner Violence: A Comparison of Single and Multiple Reports Using Linked Police and Health Registers.The International journal of social psychiatry · 2026Article
- Access to support services in prenatal and postnatal care settings for women facing domestic violence in rural India.Journal of ethnic & cultural diversity in social work · 2026Article
- Assessing formal service providers' readiness to address IPV among women with disabilities in Sweden: A mixed-methods analysis.PloS one · 2026Article
- Domestic abuse experienced by healthcare practitioners: what about dentists and dental care professionals? A systematised review.British dental journal · 2025Review
- Sex Differences in Intimate Partner Violence Lethality Risk Screening Administration and Outcomes.JAMA network open · 2025Article
- Addressing domestic violence by obstetric and gynecological resident doctors: pre-post intervention study.BMC medical education · 2025Article
- Intimate partner violence help-seeking attitudes in the Democratic Republic of the Congo: a population-based analysis.BMC public health · 2025Article
- Sexual and Reproductive Health Interventions for Women Exposed to Intimate Partner Violence: A Scoping Review.International journal of environmental research and public health · 2025Article
- Learn to Live Again: A Pilot Study to Support Women Experiencing Domestic Violence.International journal of environmental research and public health · 2025Article
- Tracking Interpersonal Violence: A 13-Year Review of Cases in a Referral Hospital (2009-2022).International journal of environmental research and public health · 2025Article
- Primary healthcare providers' perceived preparedness to respond to intimate partner violence in the public primary healthcare setting: a cross-sectional study.BMC primary care · 2025Article
- Social-structural barriers to primary care among sex workers: findings from a community-based cohort in Vancouver, Canada (2014-2021).BMC health services research · 2025Article
- Experiences of unplanned healthcare encounters from victims of intimate partner violence in Sweden.BMJ public health · 2025Article
- Sexual and domestic violence enquiry: A national exploratory survey of asking and telling in sexual health services in the UK.International journal of STD & AIDS · 2025Article
- Organizational and systems-level barriers and facilitators to health professionals' readiness to address domestic and sexualized violence: a qualitative study from Nova Scotia, Canada.Frontiers in reproductive health · 2025Article
- Views from midwives and perinatal nurses on barriers and facilitators in responding to perinatal intimate partner violence in Japan: baseline interview before intervention.BMC health services research · 2024Article
- Structural Barriers to Primary Care Among Sex Workers: Findings from a Community- Based Cohort in Vancouver, Canada (2014-2021).Research square · 2024Article
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundHealth care practitioners (HCPs) play a critical role in identifying and responding to intimate partner abuse (IPA). Despite this, studies consistently demonstrate a range of barriers that prevent HCPs from effectively identifying and responding to IPA. These barriers can occur at the individual level or at a broader systems or organisational level. In this article, we report the findings of a meta-synthesis of qualitative studies focused on HCPs' perceptions of the structural or organisational barriers to IPA identification.
methodsSeven databases were searched to identify English-language studies published between 2012 and 2020 that used qualitative methods to explore the perspectives of HCPs in relation to structural or organisational barriers to identifying IPA. Two reviewers independently screened the articles. Findings from the included studies were analysed using Thomas and Hardin's method of using a thematic synthesis and critiqued using the Critical Appraisal Skills Program tool for qualitative studies and the methodological component of the GRADE-CERQual.
resultsForty-three studies conducted in 22 countries informed the review. Eleven HCP settings were represented. Three themes were developed that described the structural barriers experienced by HCPs: The environment works against us (limited time with patients, lack of privacy); Trying to tackle the problem on my own (lack of management support and a health system that fails to provide adequate training, policies and response protocols and resources), Societal beliefs enable us to blame the victim (normalisation of IPA, only presents in certain types of women, women will lie or are not reliable).
conclusionThis meta-synthesis highlights the need for structural change to address these barriers. These include changing health systems to enable more time and to improve privacy, training, policies, and referral protocols. On a broader level IPA in health systems is currently not seen as a priority in terms of global burden of disease, mortality and morbidity and community attitudes need to address blaming the victim.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.