背景:儿童虐待在整个生命周期中有许多后果。全科医生(GP)与家庭有纵向联系,可以在识别处于危险中的儿童并向社会服务机构报告方面发挥重要作用。
目的:探讨全科医生如何处理对儿童虐待的怀疑,并调查丹麦全科医生报告行为中潜在的人口统计学和地理差异。
方法:从Medcom检索到的所有在丹麦注册的GP,国家资助的非营利组织。
方法:我们向所有注册的全科医生邮寄了一份调查问卷,经验,知识,和虐待儿童的态度。
结果:我们收到了1252份完整的问卷(回复率:38%)。大多数参与者在他们的职业生涯中怀疑虐待儿童(90%),并做出了强制性报告(85%)。超过一半的人在报告后收到反馈(56%),并表示他们的报告导致了行动(56%)。大多数全科医生报告说,他们对处理虐待儿童有信心(79%),并愿意在怀疑的情况下参与其中(0-10分为8.9分)。我们观察到,无论是在丹麦地区还是在农村和城市实践之间,报告都没有地理差异,但在单一实践中工作的全科医生对社会服务机构的报告较少。
结论:这项研究的参与者全科医生意识到他们在儿童保护中的作用,有强制性报告的经验,并愿意参与其中。可能需要注意的领域包括不同环境之间的协作和支持,特别是在GP实践之间,医院,司法部门,和社会服务。
Child maltreatment has many consequences through the lifespan. The general practitioners (GPs) are in longitudinal contact with the family and can play an important role in identifying children in danger and reporting to the social services.
To explore how GPs manage suspicions of child maltreatment and to investigate potential demographic and geographic differences in reporting practices among Danish GPs.
All registered GPs in Denmark retrieved from Medcom, a state-financed non-profit organization.
We mailed a questionnaire to all registered GPs with demographics, experiences, knowledge, and attitudes in the context of child maltreatment.
We received 1252 completed questionnaires (response rate: 38 %). Most of the participants had suspected child maltreatment during their professional life (90 %) and had made a mandatory report (85 %). More than half had received feedback after the report (56 %) and said that their report led to action (56 %). Most GPs reported feeling confident in dealing with child maltreatment (79 %) and being willing to get involved in
case of suspicion (8.9 on a 0-10 scale). We observed no geographical differences in reporting neither across the Danish regions nor among rural and urban practices, but GPs working in single practices made fewer
reports to the social services.
Participant GPs in this study are aware of their role in child protection, have experiences with mandatory
reports, and are willing to get involved. Possible areas for attention include collaboration and support between different settings, especially between GP practice, hospitals, justice sector, and social services.