Clinical recognition of elder maltreatment and intention to report among primary care doctors

Mohd Mydin, Fadzilah Hanum and Othman, Sajaratulnisah and Choo, Wan Yuen and Mohd Hairi, Noran Naqiah and Mohd Hairi, Farizah and Syed Karim, Sharifah Norsuhaida and Tan, Maw Pin and Ali, Zainudin Mohd and Abdul Aziz, Suriyati and Mohd, Rokiah and Ramli, Rohaya and Mohamad, Rosmala and Awaludin, Lailatul Rizwanah and Adnan, Zailan (2020) Clinical recognition of elder maltreatment and intention to report among primary care doctors. Journal of Elder Abuse & Neglect, 32 (1). pp. 72-83. ISSN 0894-6566, DOI https://doi.org/10.1080/08946566.2020.1731640.

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Abstract

This study aimed to determine the primary care doctors' ability to recognize elder maltreatment and their intentions to report on such conditions. About 358 primary care doctors participated in this study. Outcomes were assessed using a validated five context-relevant clinical vignettes. Primary care doctor's recognition of sexual abuse was highest (91.0%); while the lowest (70.2%) in case signifying physical abuse. Despite being able to ascertain elder maltreatment, the intention to report the event is generally low even for cases exemplifying physical abuse, emotional abuse and neglect. However, intentions to report cases of sexual and financial abuse are 86.9% and 73.5% respectively. Findings highlighted the uncertainties of primary care doctors in distinguishing the clinical findings of non-accidental injuries and injuries due to acts of maltreatment. This provides support for educational intervention and guidelines or policies to improve the knowledge and skills of primary care doctors to intervene in elder maltreatment.

Item Type: Article
Funders: Negeri Sembilan State Health Department, Ministeriet Sundhed Forebyggelse, Kementerian Kesihatan Malaysia
Uncontrolled Keywords: Primary care doctor; Elder maltreatment; Recognition; Reporting; Vignette
Subjects: H Social Sciences > HQ The family. Marriage. Woman
H Social Sciences > HV Social pathology. Social and public welfare
R Medicine > RC Internal medicine
Divisions: Faculty of Medicine > Primary Care Medicine Department
Faculty of Medicine > Social & Preventive Medicine
Depositing User: Ms Zaharah Ramly
Date Deposited: 30 Nov 2023 07:15
Last Modified: 30 Nov 2023 07:15
URI: http://eprints.um.edu.my/id/eprint/36876

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