Biomedical subjects

J Fanslow

Publications and source records attributed to J Fanslow.

12 recordsLinked to original sources

PubMed1998

Developing and implementing an intervention. Evaluation of an emergency department pilot on partner abuse.

This article discusses the role of formative and process evaluation in the development and implementation of a pilot intervention to improve the identification, treatment, and referral of women abused by their partners who present to an emergency department (ED). These evaluations were undertaken in conjunction with an outcome evaluation of training in and use of a five-step protocol of care piloted in a New Zealand public hospital. The outcome evaluation showed there was an improvement in identification and acute care of abused women following the intervention. The article highlights key factors that were relevant to the intervention's development and implementation, including social context, development processes, appropriateness for the setting, and level of support from key stakeholders. Factors identified as key to intervention effectiveness included its appropriateness for abused women and responsiveness to specific hospital, department, and staff needs. The key role of formative and process evaluation in the development and implementation of pilot interventions is highlighted, and the particular lessons gained from this study have relevance and application to other interventions.

Adolescent↗

PubMed1997

The economic cost of homicide in New Zealand.

Violence has become increasingly recognised as a public health issue, with significant impact on the health of individuals. In addition, there is increasing awareness that there are substantial economic costs associated with violence. The present study estimated the economic costs associated with homicide in New Zealand, using a human capital approach. Direct costs were assessed using information on incidence and costs from government agencies, and indirect costs were assessed based on loss of productivity resulting from death. The total estimated cost of homicides in 1992 was NZ $82997065 (U.S. $53948092), averaging NZ $1012159 per homicide (U.S. $657903). This total was comprised of the estimated total cost associated with homicide victims of NZ $37017010 (U.S. $24061056) and the estimated total cost associated with homicide perpetrators of NZ $45980055 (U.S. $29887035). Limitations of the incidence data and the methods employed suggest that these costs are likely to be underestimates. Nevertheless, the figure calculated represents an enormous drain on New Zealand's economic resources.

Adolescent↗

PubMed1996

Incidence of death and hospitalization from assault occurring in and around licensed premises: a comparative analysis.

The aim of the research was to: determine the incidence of serious assault in and around licensed premises in New Zealand, and to compare the circumstances of assault with those that occurred in other locations. For the period 1978-87, inclusive, 49 assault fatalities occurred in or around licensed premises representing 9.4% of all homicides and 12.9% where a place was specified. The comparable figures for assaults resulting in hospitalization in 1988 were: 251, 10.2% and 18.4%, respectively. Further analyses suggests that our estimate of the incidence rate is likely to be an underestimate due to changes over time in the large number of assault cases which have no specific place of occurrence identified. In comparison with homes homicides in licensed premises were more likely to involve: males; Maori, unarmed fights and brawls; unknown assailants; alcohol; occur during the evening and toward the end of the week; and result in head injury. For non-fatal events similar differences were found. In comparison with homes non-fatal assaults were more likely to involve: males; young adults, Maori, the unemployed, unarmed fights and brawls, and head injury. There have been a number of significant policy changes in New Zealand since 1988 which may have resulted in a change to the situation reported here.

Adolescent↗

PubMed1994

Violence against women: priorities for public health research in New Zealand.

Violence against women is a significant public health problem. However, little is known about the most effective ways of reducing the consequent mortality, morbidity and disability. Given both the paucity of research in this area and limited resources, there is a need to identify priorities for research that have the support of caregivers, survivors of violence, policy makers and researchers. This paper presents the results of a national process of consultation, which was successful in identifying five priority areas for research in New Zealand. These areas are as follows: primary prevention; improving the responsiveness of health care professionals; economic costs of violence; incidence and prevalence; and secondary prevention.

Female↗

PubMed1987