Navigation Links
Study finds primary health care providers fail to report substantial cases of child abuse
Date:11/8/2011

Boston A team of researchers from Boston University School of Medicine (BUSM) and Boston Medical Center (BMC), report that primary care providers (PCP) fail to report a substantial number of cases of child maltreatment. The study, which is scheduled to appear in the November-December issue of Academic Pediatrics, is the first to examine the validity of a PCP's decision to suspect child abuse as the etiology of an injury and their decision to report a suspicious injury to child protective services (CPS).

Identifying that a particular injury was caused by child abuse can be difficult. Typically, only the responsible person and child witness the injurious event, and the child may be preverbal or afraid to describe the abuse. The physical abuse of a child may be suspected after a careful history and physical examination, when the clinician determines the injury is not consistent with the history provided, or when the pattern of injuries is highly suspicious for maltreatment.

This study examined the validity of PCP assessment of suspicion that an injury was caused by child abuse and their decision to report suspected child abuse to CPS. By using a subsample of injuries drawn from the national Child Abuse Reporting and Experience Study, PCPs completed telephone interviews using a stratified sample (no suspicion of abuse; suspicious but not reported; and suspicious of abuse and reported) of 111 injury visits.

According to the researchers two techniques were used to validate the PCPs' initial decision: expert review and provider retrospective self-assessment. Five child abuse experts reviewed clinical vignettes created by using data prospectively collected by PCPs about the patient encounter. The PCPs' opinions 6 weeks and 6 months after the injury-related visits were elicited and analyzed.

Upon analysis of the data, the researchers found that PCPs and experts agreed about the suspicion of abuse in 81 percent of the cases of physical injury. PCPs did not report 21 percent of injuries that experts would have reported. Compared with expert reviewers, PCPs had a 68 percent sensitivity and 96 percent specificity in reporting child abuse.

Reporting suspected child physical abuse is a two-step process: assessment of the likelihood of child physical abuse and the decision to report. "Child abuse experts and PCPs are in general agreement concerning the assessment of suspected child physical abuse, yet this study demonstrates that primary care providers decide not to report a substantial proportion of child physical abuse cases," explained lead author Robert Sege, MD, FAAP, professor of pediatrics at BUSM, and director, Division of Ambulatory Pediatrics at BMC.

These results point to several opportunities for improvement in the training of physicians as well as the diagnosis and management of child physical abuse. "To become more certain of their suspicions, PCPs need better education about the recognition of injuries that are suspicious for child abuse, particularly bruises and fractures, and the role of state CPS agencies in investigating the child's circumstances," added Sege.


'/>"/>
Contact: Gina DiGravio
gina.digravio@bmc.org
617-638-8480
Boston University Medical Center
Source:Eurekalert

Related medicine news :

1. Space Travel Might Lead to Eye Trouble: Study
2. Seniors Choose Medicare Prescription Plans Wisely: Study
3. Kessler Foundation scientists awarded grants to study cognition in MS
4. Racial Disparities Still Exist for Kidney Recipients, Study Finds
5. UCSB psychology professors study gene-culture interaction
6. Adult living donor liver transplants safe, study finds
7. Bisexual women, more likely than bisexual men, to be depressed and abuse alcohol, new study finds
8. CAMH study suggests increased risk of schizophrenia in heavy methamphetamine users
9. UT MD Anderson study finds advances in breast cancer dont extend to older women
10. Hospital safety climate linked to both patient and nurse injuries: Drexel study
11. UGA researchers develop first mouse model to study important aspect of Alzheimer’s
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:6/26/2016)... (PRWEB) , ... June 26, 2016 , ... Pixel Film ... Pro X. , "Film editors can give their videos a whole new perspective by ... Austin - CEO of Pixel Film Studios. , ProSlice Levels contains over 30 ...
(Date:6/25/2016)... ... June 25, 2016 , ... Experts from the ... AcademyHealth’s Annual Research Meeting June 26-28, 2016, at the Hynes Convention Center in ... topics including advance care planning, healthcare costs and patient and family engagement. , ...
(Date:6/25/2016)... (PRWEB) , ... June 25, 2016 , ... First ... United States, named Dr. Sesan Ogunleye, as the Medical Director of its new Mesquite-Samuell ... facility Medical Director of our new Mesquite location,” said Dr. James M. Muzzarelli, Executive ...
(Date:6/25/2016)... ... June 25, 2016 , ... Conventional wisdom preaches the benefits of moderation, whether ... latter, setting the bar too high can result in disappointment, perhaps even self-loathing. However, ... their goal. , Research from PsychTests.com reveals that behind the tendency ...
(Date:6/24/2016)... PASADENA, CA (PRWEB) , ... June 24, 2016 , ... Marcy was in a crisis. ... he would lash out at his family verbally and physically. , “When something upset him, ... table, he would use it. He would throw rocks at my other children and say ...
Breaking Medicine News(10 mins):
(Date:6/24/2016)... 2016  Arkis BioSciences, a leading innovator in ... durable cerebrospinal fluid treatments, today announced it has ... is led by Innova Memphis, followed by Angel ... investors.  Arkis, new financing will accelerate the commercialization ... release of its in-licensed Endexo® technology. ...
(Date:6/23/2016)... DUBLIN , June 23, 2016 ... "Dialysis Devices Global Market - Forecast to 2022" report ... is the treatment method for the patients with kidney failure, ... and excess fluid from the patient,s blood and thus the ... sodium, potassium and chloride in balance. Increasing ...
(Date:6/23/2016)... Research and Markets has announced ... Type (Organic Chemical (Sugar, Petrochemical, Glycerin), Inorganic Chemical), Functionality ... - Global Forecast to 2021" report to their ... global pharmaceutical excipients market is projected to reach USD ... in the forecast period 2016 to 2021. ...
Breaking Medicine Technology: