Statewide survey of physician attitudes to controversies about child abuse

Marshall, William N.; Locke, Catherine

doi:10.1016/s0145-2134(96)00142-1

Cited by 33 publications

(22 citation statements)

References 36 publications

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“…Th is is consistent with previous research [11,[29][30][31][32]. Moreover, as Table 3 shows, pediatricians reported the highest rate of contacts with abused children (100%), whereas general practitioners reported the lowest rate (56.8%, p = 0.005).…”

Section: Summary Of Results and Conclusionsupporting

confidence: 91%

“…Th e local federal medical association granted permission and provided addresses of physicians. Th ese specialists were chosen because of their role as local fi rst responders in child abuse cases [11]. To enlarge the number of return, all physicians were asked by telephone three weeks later if they had fi lled out and sent back the envelope.…”

Section: Investigated Populationmentioning

confidence: 99%

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Awareness and knowledge of child abuse amongst physicians – a descriptive study by a sample of rural Austria

Kraus

Jandl-Jager

2011

Wien Klin Wochenschr

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This study with a selected sample of physicians was conducted to assess their awareness and knowledge of child abuse. Two thirds (66.7%) of all participants confirmed contact with obviously abused children in the course of their professional life, whereas 87.3% did not report any prior education or training in that field. In relation to general practitioners, pediatricians had significantly more contacts with abused children (p = 0.021) and more prior education (p = 0.012). Results indicate that physicians in rural regions of Austria possess basic knowledge. Better training and further specialization is needed to facilitate diagnosing, enhance reporting, strengthen cooperation with experts and reduce fears when handling abuse victims. Austria is a rich country with excellent health care and competitive research structures. However, child abuse research in Austria still has to fill gaps in order to keep up with international developments.

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Section: Summary Of Results and Conclusionsupporting

confidence: 91%

Section: Investigated Populationmentioning

confidence: 99%

Awareness and knowledge of child abuse amongst physicians – a descriptive study by a sample of rural Austria

Kraus

Jandl-Jager

2011

Wien Klin Wochenschr

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“…In a prospective study, these same pediatricians indicated variable levels of suspicion that an injury was caused by abuse (Flaherty, Sege, Mattson, & Binns, 2002). Local and regional surveys of a variety of primary care practitioners have identified that their prior education and experience with CPS, along with practice setting, appear to influence their decision to report suspected abuse (Badger, 1989;King, Reece, Bendel, & Patel, 1998;Marshall & Locke, 1997;Morris, Johnson, & Clasen, 1985;Tilden et al, 1994;Van Haeringen, Dadds, & Armstrong, 1998;Zellman, 1990aZellman, , 1990b. The national significance of these local reports is unclear, particularly because child protective services are administered by county or state governments.…”

mentioning

confidence: 99%

Pediatrician Characteristics Associated With Child Abuse Identification and Reporting: Results From a National Survey of Pediatricians

Flaherty¹,

et al. 2006

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Pediatrician experience with child protective services (CPS) and factors associated with identifying and reporting suspected child physical abuse were examined by a survey of members of the American Academy of Pediatrics (AAP). Respondents provided information about their demographics and experience, attitudes and practices with child abuse. They indicated their diagnosis and management of a child in a purposely ambiguous clinical vignette. Pediatricians who had received recent child abuse education were more confident in their ability to identify and manage child abuse. High confidence in ability to manage child abuse and positive attitude about domestic violence screening and value of anticipatory guidance predicted that pediatricians would have high suspicion that the child in the vignette was abused and that they would report the child to CPS. Future efforts to improve medical intervention in child abuse should focus on physician attitudes and experience, as well as cognitive factors.

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“…Marshall et al 3 found that women seem less likely than men to believe that accusations of child sexual abuse may be false. In a survey of 124 doctors, van Haeringen et al 4 found that general practitioners were more cautious in their assessment of child abuse than their paediatric colleagues.…”

Section: Discussionmentioning

confidence: 99%

“…In spite of recent attempts to review the evidence base behind some aspects of child-protection practices,1 2 cases frequently remain complex and judgements may be influenced by physician characteristics such as age, gender and personal or professional experience of abuse 3 4. In the United Kingdom, each NHS Trust should identify a named and/or designated doctor for child protection whose responsibilities include training, supervision and strategy.…”

mentioning

confidence: 99%