Evaluating emergency physicians’ knowledge, attitudes, and experiences of FARC ex-combatants : a pilot study of Colombia’s emergency medicine teaching hospitals
AuthorsReynolds, Christopher W.
Aguiar Martinez, Leonar G
Duarte Osorio, Andres
Rosas Romero, Fabián Andrés
Pontificia Universidad Javeriana. Facultad de Medicina. Departamento de Medicina Interna. Medicina de Urgencias. Grupo de Investigación en Urgencias y Emergencias en Salud
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Objectives: In the 2016 Peace Accord with the Fuerzas Armadas Revolucionarias de Colombia (FARC), Colombia promised to reincorporate 14,000 ex-combatants into the healthcare system. However, FARC ex-combatants have faced significant challenges in receiving healthcare, and little is known about physicians' abilities to address this population's healthcare needs. Methods: An electronic questionnaire sent to the Colombian Emergency Medicine professional society and teaching hospitals assessed physicians' knowledge, attitudes, and experiences with the FARC ex-combatant reincorporation process. Results: Among 53 participants, most were male (60.4%), and ∼25% were affected by the FARC conflict (22.6%). Overall knowledge of FARC reincorporation was low, with nearly two-thirds of participants (61.6%) scoring in the lowest category. Attitudes around ex-combatants showed low bias. Few physicians received training about reincorporation (7.5%), but 83% indicated they would like such training. Twenty-two participants (41.5%) had identified a patient as an ex-combatant in the healthcare setting. Higher knowledge scores were significantly correlated with training about reincorporation (r = 0.354, n = 53, P = 0.015), and experience identifying patients as ex-combatants (r = 0.356, n = 47, P = 0.014). Conclusion: Findings suggested high interest in training and low knowledge of the reincorporation process. Most physicians had low bias, frequent experiences with ex-combatants, and cared for these patients when they self-identify. The emergency department (ED) serves as an entrance into healthcare for this population and a potential setting for interventions to improve care delivery, especially those related to mental healthcare. Future studies could evaluate effects of care delivery following training on ex-combatant healthcare reintegration.
Attitudes and practices
Link to the resourcehttps://onlinelibrary.wiley.com/doi/10.1002/emp2.12066
SourceJournal of the American College of Emergency Physicians Open; Volumen 1 Número 5 , Páginas 757 - 765 (2020)
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