To Report or Not to Report: Physicians' Attitudes Toward Discipline and Child Abuse
To Report or Not to Report: Physicians' Attitudes Toward Discipline and Child Abuse
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举报或不举报：医生对纪律和虐待儿童的态度
DOI：
10.1001/archpedi.1985.02140040096037
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发表时间：
1985
期刊：
影响因子：
26.1
通讯作者：
M. Clasen
中科院分区：
文献类型：
--
作者：
J. Morris;C. F. Johnson;M. Clasen
对58名医生进行了访谈，以确定哪些因素影响了他们对虐待儿童的报告。当医生与受伤儿童的样本情况下，影响他们的决定，报告可疑的虐待的因素包括他们的态度，对身体的纪律，伤害的严重性，其他伤害的存在，他们与家庭的熟悉程度，适当的父母关心，兼容的历史和体检结果，和孩子的行为。结果表明，不适当的纪律通常不等同于应报告的虐待儿童。医生们认为，由于在私人诊所中发生率低、担心失去病人、需要确定性以及对社区机构缺乏信心，虐待行为不常报告。这些信念可能与年轻患者的福利相冲突。（AJC 1985;139：194-197）
• Interviews were conducted with 58 physicians to ascertain what factors influenced their reporting of child abuse. When physicians were presented with sample cases of injured children, factors that influenced their decision to report suspected abuse included their attitudes toward physical discipline, seriousness of the injury, presence of other injuries, their familiarity with the family, appropriate parental concern, compatibility of the history and physical examination findings, and the child's behavior. Results indicated that inappropriate discipline was usually not equated with reportable child abuse. Physicians believed that abuse is not often reported because of its low incidence in the private practice setting, the fear of losing patients, the need for certainty, and the lack of confidence in community agencies. These beliefs may conflict with the welfare of young patients. (AJDC1985;139:194-197)