Difficulty of caring for children in danger or at risk of danger in Var (a French department) by general practitioners and private pediatricians

IF 1.3 4区医学 Q3 PEDIATRICS

Archives De Pediatrie Pub Date : 2025-08-01 DOI:10.1016/j.arcped.2025.04.006

Clemence Desmarets , Julie Berbis , Paul Casha , Violaine Bresson , Emmanuelle Bosdure , Kareen Thibault , Michel Delage , Aurelie Morand , Brigitte Chabrol , Elisabeth Martin-Lebrun , Lindsay Osei

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引用次数: 0

Abstract

Background

The exposure of children to situations of danger or risk of danger is a major public health problem. General practitioners (GPs) and pediatricians play an essential role in identification and management of these situations thanks to two procedures: the administrative procedure consists of sending an information of concern (“Information préoccupante” -IP- in French) to the departmental unit of collection, evaluation and processing of information of concern (CRIP in French) for a child at risk of danger; the judicial procedure consists of sending an alert (“signalement” in French) to the public prosecutor for serious and immediate danger. However, hospital and private doctors only perform 5 % of child abuse alerts.

Objective

The main objective was to describe doctors’ practices regarding the care of children in danger or at risk of danger. The secondary objective was to identify areas for improving the efficiency of management.

Methods

We present a descriptive, quantitative, and cross-sectional study using questionnaires to the GPs and pediatricians in private practice in Var (French department) in 2021.

Results

Our sample consisted of 134 GPs and 28 pediatricians. 75.3 % had already faced children in danger. Only 17.1 % provided efficient management (according to the recommendations of the Haute Autorité de Santé) when faced with a suspicion of a child at risk, 53.4 % for suspicion of child abuse, and 44.5 % for child sexual abuse. Pediatricians were more likely to know the contact details of child protection actors, and 84.6 % of doctors expressed a desire for more exchanges with them. 85.8 % expressed a feeling of being insufficiently trained.

Conclusion

It is essential to enhance the training of doctors and foster more effective collaboration with child protection actors. We propose distributing a document to private doctors in the Var to help them identify and manage cases.

查看原文本刊更多论文

在Var（法国的一个科室），全科医生和私人儿科医生难以照顾处于危险或有危险风险的儿童。

背景：儿童暴露于危险环境或危险风险是一个重大的公共卫生问题。全科医生和儿科医生在识别和管理这些情况方面发挥着至关重要的作用，这要感谢两个程序：行政程序包括向部门收集、评估和处理有危险儿童的关注信息单位（法语为CRIP）发送一份关注信息（法语为“information pr occupante”- ip）；司法程序包括向公诉人发出严重和紧迫危险的警报（法语“信号”）。然而，医院和私人医生只执行了5%的儿童虐待警报。目的：主要目的是描述医生在照顾处于危险或处于危险危险中的儿童方面的做法。第二个目标是确定可以提高管理效率的领域。方法：我们对2021年Var（法语科）私人执业的全科医生和儿科医生进行了一项描述性、定量和横断面研究。结果：我们的样本包括134名全科医生和28名儿科医生。75.3%的人已经面对过处于危险中的儿童。只有17.1%的学校（根据高等教育委员会的建议）在怀疑有儿童面临危险时提供了有效的管理，53.4%的学校涉嫌虐待儿童，44.5%的学校涉嫌性虐待儿童。儿科医生更有可能知道儿童保护工作者的联系方式，84.6%的医生表示希望与他们进行更多的交流。85.8%的人表示培训不足。结论：必须加强对医生的培训，促进与儿童保护行动者的更有效合作。我们建议向Var的私人医生分发一份文件，以帮助他们识别和管理病例。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Archives De Pediatrie 医学-小儿科

CiteScore

2.80

自引率

5.60%

发文量

106

审稿时长

24.1 weeks

期刊介绍： Archives de Pédiatrie publishes in English original Research papers, Review articles, Short communications, Practice guidelines, Editorials and Letters in all fields relevant to pediatrics. Eight issues of Archives de Pédiatrie are released annually, as well as supplementary and special editions to complete these regular issues. All manuscripts submitted to the journal are subjected to peer review by international experts, and must: Be written in excellent English, clear and easy to understand, precise and concise; Bring new, interesting, valid information - and improve clinical care or guide future research; Be solely the work of the author(s) stated; Not have been previously published elsewhere and not be under consideration by another journal; Be in accordance with the journal''s Guide for Authors'' instructions: manuscripts that fail to comply with these rules may be returned to the authors without being reviewed. Under no circumstances does the journal guarantee publication before the editorial board makes its final decision. Archives de Pédiatrie is the official publication of the French Society of Pediatrics.