Reporting Mistreatment of Older Adults: The Role of Physicians

Rosenblatt, Dorrie E.; Cho, Kyung Hwan; Durance, Paul W.

doi:10.1111/j.1532-5415.1996.tb05640.x

Cited by 86 publications

(39 citation statements)

References 21 publications

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“…A total of 191 completed questionnaires were returned, representing a 24% response rate. Given this topic, the 24% response rate is typical of surveys of physicians with few exceptions (Jones, Veenstra, Seamon, & Krohmer, 1997;Rosenblatt, Cho, & Durance, 1996). The analysis below is based on 186 received before analysis commenced and to meet a deadline for the sponsoring agency.…”

Section: Methodsmentioning

confidence: 99%

Elder Abuse and Neglect: A Survey of Irish General Practitioners

O’Brien

Riain²,

Collins³

et al. 2014

Journal of Elder Abuse & Neglect

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The objective of this study was to survey general practitioners (GPs) in Ireland regarding their experience with elder abuse. A random sample of 800 GPs were mailed a survey in March 2010, with a reminder in May 2010, yielding a 24% response rate. The majority, 64.5%, had encountered elder abuse, with 35.5% encountering a case in the previous year. Most were detected during a home visit. Psychological abuse and self-neglect were most common. Most GPs in Ireland have encountered cases of elder abuse, most were willing to get involved beyond medical treatment, and 76% cited a need for more education.

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Section: Methodsmentioning

confidence: 99%

Elder Abuse and Neglect: A Survey of Irish General Practitioners

O’Brien

Riain²,

Collins³

et al. 2014

Journal of Elder Abuse & Neglect

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“…5,22,23 Some studies suggest that physicians' lack of familiarity with state reporting laws may contribute to underreporting of elder abuse, 5,23,24 whereas others cite controversy over its effectiveness. 22,25,26 Researchers have examined similar controversies concerning mandatory reporting of child abuse and intimate partner violence. [27][28][29] Potential benefi ts of mandatory reporting laws include protecting the elder and removing from physicians the responsibility of deciding whether to report suspected incidents.…”

mentioning

confidence: 99%

Mandatory Reporting of Elder Abuse: Between a Rock and a Hard Place

Rodríguez¹

2006

The Annals of Family Medicine

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PURPOSE Despite mandated reporting laws that require physicians to report elder abuse, physicians have low rates of reporting. The purpose of this study was to identify physician's perspectives on mandated reporting of elder abuse.METHODS Individual, semistructured interviews were conducted with 20 primary care physicians practicing in a variety of settings and caring for a diverse patient population in the Los Angeles area. Interviewers collected information on physicians' perspectives about factors that may infl uence physicians' likelihood to report elder abuse. The interviews were recorded and transcribed verbatim. Transcripts were analyzed using a grounded theory approach based on the constant comparative method and the emergence of the core category of paradox to best account for the most problematic elder abuse situations faced by physicians.RESULTS During the interviews 3 paradoxes were expressed by physicians about the mandatory reporting of elder abuse. Specifi cally, mandatory reporting was related to both perceptions of increases and decreases in physician-patient rapport, patient quality of life, and physician control or ability to decide what is in the best interest of the patient. These paradoxes appear to be primarily hidden or unconscious, yet they infl uence the conscious decision process of whether to report.CONCLUSIONS Primary care physicians appear to be subject to paradoxes of reporting that contribute to the underreporting of elder abuse. These paradoxes and alternative modes of managing paradoxes are important and should be addressed in educational and training programs for physicians, and systematic evaluation of these issues may help to inform future legislation in this area. Further studies are needed to assess the generalizability of these fi ndings to other groups of clinicians.

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“…Despite the prevalence of elder mistreatment and the likelihood that OB/GYNs have encountered women dealing with this issue, it was rarely suspected and most OB/GYNs have never reported a case of elder abuse in their careers. Although concerning, this is not surprising, given the finding that only a small percentage of reports received by Adult Protective Service agencies are submitted by physicians (Rosenblatt et al, 1996; National Committee for the Prevention of Elder Abuse and The National Adult Protective Services Association, 2006).…”

Section: Discussionmentioning

confidence: 77%

“…Unfortunately, few of the reports to state adult protective services programs are made by physicians (Rosenblatt et al, 1996; National Committee for the Prevention of Elder Abuse and The National Adult Protective Services Association, 2006). Possible barriers to identifying and reporting elder abuse include a lack of education (Kennedy, 2005;Taylor, Bachuwa, Evans, & JacksonJohnson, 2006;Wagenaar, Rosenbaum, Page, & Herman, 2009), time constraints, and competing priorities (Schmeidel, Daly, Rosenbaum, Schmuch, & Jogerst, 2012).…”

mentioning

confidence: 97%

“…Most states have mandatory reporting requirements for elder abuse and neglect, and as such OB/GYNs have an ethical and legal responsibility to advocate for victims of abuse by screening, identifying, and reporting cases of abuse (Bomba, 2006;Rosenblatt, Cho, & Durance, 1996;Shugarman, Fries, Wolf, & Morris, 2003;Stark, 2012). Screening for elder mistreatment as part of well-woman care can help OB/GYNs to identify and protect those who are being mistreated.…”

mentioning

confidence: 99%

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