Abstract：
Health Pathfinder is a multilevel system change intervention initiated to transform the health response to domestic violence and abuse in eight sites in England. The current study drew upon interviews with health professionals (n = 27) and victim-survivors (n = 20) to provide a realist account of how this intervention achieved its goals. Findings show that five change mechanisms explain why Health Pathfinder was effective as an ecological intervention: awareness, expertise, relationships, empowerment, and evidence. Positive progress in respect of each mechanism had meaningful impacts on victim-survivor experiences of enquiry, disclosure, and uptake of services and had the potential to meaningfully impact health inequities.
摘要：
健康探路者是一项多层次的系统变革干预措施，旨在改变英格兰八个地点对家庭暴力和虐待的健康反应。当前的研究利用了对卫生专业人员（n=27）和受害者幸存者（n=20）的采访，以提供这种干预措施如何实现其目标的现实主义描述。研究结果表明，五种变化机制解释了为什么健康探路者作为一种生态干预是有效的：意识，专业知识,关系,赋权，和证据。每个机制方面的积极进展对受害者-幸存者的调查经验产生了有意义的影响，披露，并有可能对健康不平等产生有意义的影响。
