ArticleBMC primary care2023
General practice wide adaptations to support patients affected by DVA during the COVID-19 pandemic: a rapid qualitative study.
Article in BMC primary care, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed, 32 citations in OpenAlex.
- How do digital access and remote consultations in primary care impact patients affected by domestic abuse?The British journal of general practice : the journal of the Royal College of General Practitioners · 2026Article
- The impact of COVID-19 lockdowns on primary care contact among vulnerable populations in England: a controlled interrupted time-series study.BJGP open · 2025Article
- Violence against women and girls: how can general practice respond?The British journal of general practice : the journal of the Royal College of General Practitioners · 2025Article
- Healthcare responding to violence and abuse in Brazil: a quasi-experimental difference-in-differences analysis.Lancet regional health. Americas · 2025Article
- Unpacking complexity in addressing the contribution of trauma to women's ill health: a qualitative study of perspectives from general practice.The British journal of general practice : the journal of the Royal College of General Practitioners · 2024Article
- Feasibility of a reconfigured domestic violence and abuse training and support intervention responding to affected women, men, children and young people through primary care.BMC primary care · 2024Article
- COVID-19 adaptations to a training and support programme to improve primary care response to domestic abuse: a mixed methods rapid study.BMC primary care · 2024Article
- General practice as a place to receive help for domestic abuse during the COVID-19 pandemic: a qualitative interview study in England and Wales.The British journal of general practice : the journal of the Royal College of General Practitioners · 2023Article
- Adapting domestic abuse training to remote delivery during the COVID-19 pandemic: a qualitative study of views from general practice and support services.The British journal of general practice : the journal of the Royal College of General Practitioners · 2023Article
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Corrections and comments
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Authors and funding
11 authors at 5 institutions in 1 country.
Funding
Abstract
backgroundReporting of domestic violence and abuse (DVA) increased globally during the pandemic. General Practice has a central role in identifying and supporting those affected by DVA. Pandemic associated changes in UK primary care included remote initial contacts with primary care and predominantly remote consulting. This paper explores general practice's adaptation to DVA care during the COVID-19 pandemic.
methodsRemote semi-structured interviews were conducted by telephone with staff from six localities in England and Wales where the Identification and Referral to Improve Safety (IRIS) primary care DVA programme is commissioned. We conducted interviews between April 2021 and February 2022 with three practice managers, three reception and administrative staff, eight general practice clinicians and seven specialist DVA staff. Patient and public involvement and engagement (PPI&E) advisers with lived experience of DVA guided the project. Together we developed recommendations for primary care teams based on our findings.
resultsWe present our findings within four themes, representing primary care adaptations in delivering DVA care: 1. Making general practice accessible for DVA care: staff adapted telephone triaging processes for appointments and promoted availability of DVA support online. 2. General practice team-working to identify DVA: practices developed new approaches of collaboration, including whole team adaptations to information processing and communication 3. Adapting to remote consultations about DVA: teams were required to adapt to challenges including concerns about safety, privacy, and developing trust remotely. 4. Experiences of onward referrals for specialist DVA support: support from specialist services was effective and largely unchanged during the pandemic.
conclusionsDisruption caused by pandemic restrictions revealed how team dynamics and interactions before, during and after clinical consultations contribute to identifying and supporting patients experiencing DVA. Remote assessment complicates access to and delivery of DVA care. This has implications for all primary and secondary care settings, within the NHS and internationally, which are vital to consider in both practice and policy.
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