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. 1993 Nov;43(376):463–465.

General practitioners' beliefs about their role in the prevention and treatment of accidents involving children.

Y H Carter 1, P W Jones 1
PMCID: PMC1372485  PMID: 8292418

Abstract

This questionnaire survey set out to determine the perceptions of family doctors in north Staffordshire regarding their role in the prevention and treatment of childhood accidents. Of 277 doctors sent questionnaires, 207 (75%) replied. Only 23% of respondents considered that they did enough child accident prevention work; lack of time was mentioned as a limiting factor by 66%. Child health surveillance clinics and home visits were considered by 60% and 59% of respondents, respectively, to be appropriate occasions on which to give prevention advice. However, only 12% of respondents frequently gave safety advice while visiting a child. Significantly more older general practitioners (over 44 years) gave advice during a visit than younger doctors. Among doctors with a health visitor who was practice rather than geographically based significantly more gave advice on a home visit and discussed safety issues with their health visitors. Significantly more general practitioners in practices more than five miles from the nearest accident and emergency department offered to provide treatment for children following an accident than those in practices nearer to a hospital. Child accident prevention has recently been targeted as an important area for health promotion in primary care. However, this district based survey has identified a relatively low profile for the subject in the everyday activities of the general practitioner. The need for further research to determine the precise role of the family doctor in the prevention and treatment of children's accidents is highlighted.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Bannon M. J. Accidents on hospital wards. Arch Dis Child. 1992 Jan;67(1):151–151. doi: 10.1136/adc.67.1.151-b. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. Carter Y. H., Jones P. W. Accidents among children under five years old: a general practice based study in north Staffordshire. Br J Gen Pract. 1993 Apr;43(369):159–163. [PMC free article] [PubMed] [Google Scholar]
  3. Greig T. The GP's role in child accident prevention. Practitioner. 1987 Dec;231(1440):1612, 1615-6. [PubMed] [Google Scholar]
  4. Inwald A. C. A comparison of self-referred patients to accident and emergency departments between an urban district and a rural district. J R Coll Gen Pract. 1980 Apr;30(213):220–223. [PMC free article] [PubMed] [Google Scholar]
  5. Jackson H. Childhood safety--are we doing enough? Practitioner. 1990 May 22;234(1489):524–528. [PubMed] [Google Scholar]
  6. 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]
  7. Levene S., Bonfield G. Accidents on hospital wards. Arch Dis Child. 1991 Sep;66(9):1047–1049. doi: 10.1136/adc.66.9.1047. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. Phillips B. M., Robson W. J. Paediatrics in the accident and emergency department. Arch Dis Child. 1992 Apr;67(4):560–564. doi: 10.1136/adc.67.4.560. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. 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]
  10. Sibert J. R., Maddocks G. B., Brown B. M. Childhood accidents--an endemic of epidemic proportion. Arch Dis Child. 1981 Mar;56(3):225–227. doi: 10.1136/adc.56.3.225. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. Singh S. Self referral to accident and emergency department: patients' perceptions. BMJ. 1988 Nov 5;297(6657):1179–1180. doi: 10.1136/bmj.297.6657.1179. [DOI] [PMC free article] [PubMed] [Google Scholar]
  12. Vipulendran V., Mason A. R., Sunderland R. Cost to the NHS of accidents to children in the West Midlands. Br Med J (Clin Res Ed) 1988 Feb 27;296(6622):611–611. doi: 10.1136/bmj.296.6622.611. [DOI] [PMC free article] [PubMed] [Google Scholar]

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