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2015 ; 33
(1
): 21-6
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Facing suspected child abuse--what keeps Swedish general practitioners from
reporting to child protective services?
#MMPMID25676563
Talsma M
; Bengtsson Boström K
; Östberg AL
Scand J Prim Health Care
2015[Mar]; 33
(1
): 21-6
PMID25676563
show ga
OBJECTIVE: The aim of this study was to examine the reporting of suspected child
abuse among Swedish general practitioners (GPs), and to investigate factors
influencing them in their decision whether or not to report to child protective
services (CPS). DESIGN: A cross-sectional questionnaire study. SETTING: Primary
health care centres in western Sweden. SUBJECTS: 177 GPs and GP trainees. MAIN
OUTCOME MEASURES: Demographic and educational background, education on child
abuse, attitudes to reporting and CPS, previous experience of reporting suspected
child abuse, and need of support. RESULTS: Despite mandatory reporting, 20% of
all physicians had at some point suspected but not reported child abuse. Main
reasons for non-reporting were uncertainty about the suspicion and use of
alternative strategies; for instance, referral to other health care providers or
follow-up of the family by the treating physician. Only 30% of all physicians
trusted CPS's methods of investigating and acting in cases of suspected child
abuse, and 44% of all physicians would have wanted access to expert consultation.
There were no differences in the failure to report suspected child abuse that
could be attributed to GP characteristics. However, GPs educated abroad reported
less frequently to CPS than GPs educated in Sweden. CONCLUSIONS: This study
showed that GPs see a need for support from experts and that the communication
and cooperation between GPs and CPS needs to be improved. The low frequency of
reporting indicates a need for continued education of GPs and for updated
guidelines including practical advice on how to manage child abuse.