Arch Pediat Adol Med
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Recommendations for child health care providers to counsel patients and their families on violence prevention have been issued by a number of major health care organizations. ⋯ Pediatricians are not adequately prepared to provide violence prevention counseling, and few currently screen for exposure to family and community violence, peer violence, and access to weapons. Comprehensive information about violence prevention should be integrated into medical education, and the efficacy of violence prevention counseling strategies should be evaluated.
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To develop a measure of parental perceptions of pediatric inpatient quality of care, to identify processes of care that influence these perceptions, and to describe these perceptions of care. ⋯ Parental assessment of inpatient pediatric care rests heavily on the quality of communication between the clinician and parent. Specific processes of care strongly influence overall assessments. Such reports could be used to focus the quality-improvement activities of hospitals and increase the accountability of providers of care to children and families.
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Arch Pediat Adol Med · Nov 1999
Medical evaluation of sexual abuse in children without disclosed or witnessed abuse.
To investigate why sexual abuse was suspected and what physical findings were present among children referred for the evaluation of sexual abuse without a verbal disclosure or witnessed abuse, and to determine if the reasons for requesting medical evaluation varied by referral source. ⋯ Physicians are more likely than public agencies to refer children for sexual abuse evaluation for reasons other than disclosure by the child. For most of these children, examination is unlikely to influence the suspicion of abuse. Improved physician training and selected referrals are indicated.