Abstract
OBJECTIVE: To survey the level of interest and involvement in child injury prevention among general practitioners and their practice teams, and to identify factors associated with current interest. DESIGN: Postal survey of a random sample of United Kingdom (UK) medical practitioners. SETTING: Medical practices throughout the UK. SUBJECTS: 957 general practitioners (50% of the total sample) who responded to the survey questionnaire. OUTCOMES: Answer to questions about role in injury prevention. RESULTS: Despite a response rate of only 50%, this study is the largest to examine the role of general practitioners in child injury prevention. Seven hundred and twenty five (77%) of the respondents considered injury prevention to be part of the general practitioner's role, but only 260 (28%) felt that they did enough in this area. Time was cited as the most significant limiting factor. Women doctors, rural practitioners, members of the Royal College of General Practitioners, and doctors with previous personal experience of serious accidents all had more positive attitudes to injury prevention as a routine part of their activities (p < 0.05). Practices providing first aid training for staff were also associated with an interest in injury prevention. The most appropriate times for offering prevention advice were thought to be during child health surveillance clinics and during treatment of an accident. CONCLUSIONS: Awareness about injury prevention opportunities might be improved by emphasising the roles of individual team members and by better addressing the training needs of the whole team.
Full text
PDFSelected References
These references are in PubMed. This may not be the complete list of references from this article.
- Agass M., Mant D., Fuller A., Coulter A., Jones L. Childhood accidents: a practice survey using general practitioners' records and parental reports. Br J Gen Pract. 1990 May;40(334):202–205. [PMC free article] [PubMed] [Google Scholar]
- Bass J. L., Christoffel K. K., Widome M., Boyle W., Scheidt P., Stanwick R., Roberts K. Childhood injury prevention counseling in primary care settings: a critical review of the literature. Pediatrics. 1993 Oct;92(4):544–550. [PubMed] [Google Scholar]
- Carter Y. H., Bannon M. J., Jones P. W. Health visitors and child accident prevention. Health Visit. 1992 Apr;65(4):115–117. [PubMed] [Google Scholar]
- Carter Y. H., Bannon M. J., Jones P. W. The role of the teacher in child accident prevention. J Public Health Med. 1994 Mar;16(1):23–28. doi: 10.1093/oxfordjournals.pubmed.a042930. [DOI] [PubMed] [Google Scholar]
- Carter Y. H., Jones P. W. General practitioners' beliefs about their role in the prevention and treatment of accidents involving children. Br J Gen Pract. 1993 Nov;43(376):463–465. [PMC free article] [PubMed] [Google Scholar]
- Colver A. F., Hutchinson P. J., Judson E. C. Promoting children's home safety. Br Med J (Clin Res Ed) 1982 Oct 23;285(6349):1177–1180. doi: 10.1136/bmj.285.6349.1177. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Greig T. The GP's role in child accident prevention. Practitioner. 1987 Dec;231(1440):1612, 1615-6. [PubMed] [Google Scholar]
- Hannay D., Usherwood T., Platts M. Workload of general practitioners before and after the new contract. BMJ. 1992 Mar 7;304(6827):615–618. doi: 10.1136/bmj.304.6827.615. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Hussain L. M., Redmond A. D. Are pre-hospital deaths from accidental injury preventable? BMJ. 1994 Apr 23;308(6936):1077–1080. doi: 10.1136/bmj.308.6936.1077. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Jackson R. H. The doctor's role in the prevention of accidents. Arch Dis Child. 1988 Mar;63(3):235–237. doi: 10.1136/adc.63.3.235. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Kendrick D. Role of the primary health care team in preventing accidents to children. Br J Gen Pract. 1994 Aug;44(385):372–375. [PMC free article] [PubMed] [Google Scholar]
- Levene S. Accident prevention: the health visitor's role. Health Visit. 1992 Oct;65(10):340–341. [PubMed] [Google Scholar]
- Pless I. B. Accident prevention. BMJ. 1991 Aug 24;303(6800):462–464. doi: 10.1136/bmj.303.6800.462. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Sibert J. R. Accidents to children: the doctor's role. Education or environmental change? Arch Dis Child. 1991 Jul;66(7):890–893. doi: 10.1136/adc.66.7.890. [DOI] [PMC free article] [PubMed] [Google Scholar]