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目的了解阻碍医务人员报告处理可疑儿童虐待案例的因素,为儿童虐待的进一步规范性管理提供依据。方法选取湖南、浙江、陕西、广东的妇幼保健院、儿童医院或综合医院的儿科、社区卫生服务中心和乡镇卫生院中的医务人员,采用定性研究方法,面对面进行个人深入访谈。结果阻碍医务人员报告处理可疑儿童虐待案例的因素分为四大主题:(1)管理方面:缺乏对儿童虐待的完善的管理机制;(2)能力方面:缺乏儿童虐待的相关知识和识别处理能力;(3)态度方面:不认可自己须进行儿童虐待案例的报告处理;(4)担忧方面:担忧报告对儿童、家庭、医务人员带来不良影响。结论《中华人民共和国反家庭暴力法》填补了儿童虐待管理机制的空白,但为促进医务人员对儿童虐待案例的报告处理,还需提高医务人员能力、打消其顾虑。
Objectives To understand the factors that hinder medical staff from reporting cases of child abuse in doubtful cases and provide a basis for further normative management of child abuse. Methods The medical staffs in pediatrics, community health centers and township hospitals in children’s hospitals or general hospitals in Hunan, Zhejiang, Shaanxi and Guangdong were selected to carry out in-person individual interviews with qualitative research methods. Results The factors that hinder the medical staff from reporting cases of suspected child abuse are divided into four main topics: (1) management: lack of a sound management mechanism for child abuse; (2) capacity: the lack of knowledge and identification of child abuse ; (3) Attitude: do not approve the handling of reports of child abuse cases; (4) Concerns: Fear reports have adverse effects on children, families and medical staff. Conclusion The Anti-Domestic Violence Law of the People’s Republic of China has filled in the blank of child abuse management mechanism. However, in order to promote the handling of cases of child abuse by medical staff, it is necessary to raise the capacity of medical personnel and dispel their concerns.