Evidence map›Paper›PMID 25676563›Full record

ArticleScandinavian journal of primary health care2015

Facing suspected child abuse--what keeps Swedish general practitioners from reporting to child protective services?

Marijke Talsma, Kristina Bengtsson Boström, Anna-Lena Östberg

Open access · goldAbstract read
In one paragraph

Article in Scandinavian journal of primary health care, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
3.8field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 64 citations in OpenAlex.

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  12. GPs' suspicion of child abuse: how does it arise and what is the follow-up?Scandinavian journal of primary health care · 2020
    Article
  13. Article
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  16. Struggling with one's own parenting after an upbringing with substance abusing parents.International journal of qualitative studies on health and well-being · 2018
    Article
  17. Article
  18. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 2 institutions in 1 country.

Marijke TalsmaNärhälsan Billingen Health Care Centre , Skövde , Sweden.
Kristina Bengtsson Boström
Anna-Lena Östberg
Public Dental Service Västra Götaland · SESkaraborg Hospital · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe 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).

designA cross-sectional questionnaire study.

settingPrimary health care centres in western Sweden. SUBJECTS: 177 GPs and GP trainees.

main outcome measuresDemographic and educational background, education on child abuse, attitudes to reporting and CPS, previous experience of reporting suspected child abuse, and need of support.

resultsDespite 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.

conclusionsThis 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.

Indexed as

Attitude of Health PersonnelChild AbuseChild Protective ServicesDecision MakingFamily PracticeGeneral PractitionersMandatory ReportingAdultChildCross-Sectional StudiesEducation, MedicalFamilyHumansPractice Patterns, Physicians'Primary Health CareReferral and ConsultationChild abusechild protective servicesgeneral practicemandatory reportingprimary care physiciansSweden

Identifiers

PMID25676563
PMCPMC4377737
OpenAlexW1981809567

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.