Evaluating emergency physicians' knowledge, attitudes, and experiences of FARC ex‐combatants: A pilot study of Colombia's emergency medicine teaching hospitals
Abstract 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 abo...
| Main Authors: | , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wiley
2020-10-01
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| Series: | Journal of the American College of Emergency Physicians Open |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/emp2.12066 |
| _version_ | 1828496298375905280 |
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| author | Christopher W. Reynolds Leonar G. Aguiar Katelyn Moretti Andres Duarte Fabián Andrés Rosas Romero Andres Patiño Adrienne Fricke Virginia Zarama Atilio Moreno Heidy Carranza Christian Arbelaez |
| author_facet | Christopher W. Reynolds Leonar G. Aguiar Katelyn Moretti Andres Duarte Fabián Andrés Rosas Romero Andres Patiño Adrienne Fricke Virginia Zarama Atilio Moreno Heidy Carranza Christian Arbelaez |
| author_sort | Christopher W. Reynolds |
| collection | DOAJ |
| description | Abstract 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. |
| first_indexed | 2024-12-11T12:27:20Z |
| format | Article |
| id | doaj.art-2d26f658587e412dab21c5249a3aaf3c |
| institution | Directory Open Access Journal |
| issn | 2688-1152 |
| language | English |
| last_indexed | 2024-12-11T12:27:20Z |
| publishDate | 2020-10-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of the American College of Emergency Physicians Open |
| spelling | doaj.art-2d26f658587e412dab21c5249a3aaf3c2022-12-22T01:07:21ZengWileyJournal of the American College of Emergency Physicians Open2688-11522020-10-011575776510.1002/emp2.12066Evaluating emergency physicians' knowledge, attitudes, and experiences of FARC ex‐combatants: A pilot study of Colombia's emergency medicine teaching hospitalsChristopher W. Reynolds0Leonar G. Aguiar1Katelyn Moretti2Andres Duarte3Fabián Andrés Rosas Romero4Andres Patiño5Adrienne Fricke6Virginia Zarama7Atilio Moreno8Heidy Carranza9Christian Arbelaez10University of Michigan Medical School Ann Arbor MichiganPontificia Universidad Javeriana Hospital Universitario San Ignacio Bogotá ColombiaBrown Emergency Medicine Providence Rhode IslandPontificia Universidad Javeriana Hospital Universitario San Ignacio Bogotá ColombiaFundación Santa Fe de Bogotá Bogotá ColombiaEmory University School of Medicine Atlanta GeorgiaHarvard Humanitarian Initiative Cambridge MassachusettsFundación Valle de Lili Cali Valle del Cauca ColombiaPontificia Universidad Javeriana Hospital Universitario San Ignacio Bogotá ColombiaPontificia Universidad Javeriana Hospital Universitario San Ignacio Bogotá ColombiaPontificia Universidad Javeriana Hospital Universitario San Ignacio Bogotá ColombiaAbstract 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.https://doi.org/10.1002/emp2.12066FARC ex‐combatant, armed conflictattitudes and practicesbiasglobal healthhealth knowledgepublic health |
| spellingShingle | Christopher W. Reynolds Leonar G. Aguiar Katelyn Moretti Andres Duarte Fabián Andrés Rosas Romero Andres Patiño Adrienne Fricke Virginia Zarama Atilio Moreno Heidy Carranza Christian Arbelaez Evaluating emergency physicians' knowledge, attitudes, and experiences of FARC ex‐combatants: A pilot study of Colombia's emergency medicine teaching hospitals Journal of the American College of Emergency Physicians Open FARC ex‐combatant, armed conflict attitudes and practices bias global health health knowledge public health |
| title | Evaluating emergency physicians' knowledge, attitudes, and experiences of FARC ex‐combatants: A pilot study of Colombia's emergency medicine teaching hospitals |
| title_full | Evaluating emergency physicians' knowledge, attitudes, and experiences of FARC ex‐combatants: A pilot study of Colombia's emergency medicine teaching hospitals |
| title_fullStr | Evaluating emergency physicians' knowledge, attitudes, and experiences of FARC ex‐combatants: A pilot study of Colombia's emergency medicine teaching hospitals |
| title_full_unstemmed | Evaluating emergency physicians' knowledge, attitudes, and experiences of FARC ex‐combatants: A pilot study of Colombia's emergency medicine teaching hospitals |
| title_short | Evaluating emergency physicians' knowledge, attitudes, and experiences of FARC ex‐combatants: A pilot study of Colombia's emergency medicine teaching hospitals |
| title_sort | evaluating emergency physicians knowledge attitudes and experiences of farc ex combatants a pilot study of colombia s emergency medicine teaching hospitals |
| topic | FARC ex‐combatant, armed conflict attitudes and practices bias global health health knowledge public health |
| url | https://doi.org/10.1002/emp2.12066 |
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