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Child protection referral issues for general practitioners/family physicians Cole, Carol Diane
Abstract
The purpose of this research was to investigate why GPs/FPs are having difficulty collaborating with other health and human service professionals on matters of child protection. Since the symptoms of a child in need of protection are often hidden and can easily be minimized or attributed to something else, an assertiveness to rigorously investigate ambiguous symptoms is required. This research applied Organizational Citizenship Behaviour theory to understand some of the barriers and facilitators to assertive collaboration. The research survey of 190 GPs/FPs in Vancouver B C , showed that the referral process in child protection cases is lengthy (often a few hours over several weeks), and the GP/FP is rarely remunerated for this time. Most GPs/FPs believe that it takes longer to refer to non-MDs than to MDs. GPs/FPs who refer to non-MDs have more interprofessional education (mentoring, CCFP certification), and work in group practices more often than in solo practices. GPs/FPs who are paid by fee-for-service refer to non- MDs less often than those who are paid by other methods (e.g., salary). Abundant additional information was collected beyond the basic research question, mainly for future research. Some of these data are striking: many GPs/FPs have never referred a child/family for a child protection concern; most child protection referrals are to pediatricians and then to psychiatrists; the GPs/FPs who stated that non-MD referrals take longer than M D referrals referred more to pediatricians and psychiatrists than to non- MDs; the GPs/FPs who refer to non-MDs stated that it took the same amount of time to refer to non-MDs or MDs. Another distinctive finding was that the survey comments showed strong GP/FP frustration with the lack of help for children and their families, including some alarming examples. The work reported here provides data about MD/non-MD collaboration, discusses practice implications, and offers suggestions about how to encourage child protection referrals from GPs/FPs particularly to non-MD health and human service professionals. GPs/FPs may be the province's most accessible, powerful professional resource for children and their families, and the least motivated to take action.
Item Metadata
Title |
Child protection referral issues for general practitioners/family physicians
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Creator | |
Publisher |
University of British Columbia
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Date Issued |
2001
|
Description |
The purpose of this research was to investigate why GPs/FPs are having difficulty
collaborating with other health and human service professionals on matters of child
protection. Since the symptoms of a child in need of protection are often hidden and can
easily be minimized or attributed to something else, an assertiveness to rigorously
investigate ambiguous symptoms is required. This research applied Organizational
Citizenship Behaviour theory to understand some of the barriers and facilitators to
assertive collaboration.
The research survey of 190 GPs/FPs in Vancouver B C , showed that the referral
process in child protection cases is lengthy (often a few hours over several weeks), and
the GP/FP is rarely remunerated for this time. Most GPs/FPs believe that it takes longer
to refer to non-MDs than to MDs. GPs/FPs who refer to non-MDs have more
interprofessional education (mentoring, CCFP certification), and work in group practices
more often than in solo practices. GPs/FPs who are paid by fee-for-service refer to non-
MDs less often than those who are paid by other methods (e.g., salary).
Abundant additional information was collected beyond the basic research question,
mainly for future research. Some of these data are striking: many GPs/FPs have never
referred a child/family for a child protection concern; most child protection referrals are
to pediatricians and then to psychiatrists; the GPs/FPs who stated that non-MD referrals
take longer than M D referrals referred more to pediatricians and psychiatrists than to non-
MDs; the GPs/FPs who refer to non-MDs stated that it took the same amount of time to
refer to non-MDs or MDs. Another distinctive finding was that the survey comments
showed strong GP/FP frustration with the lack of help for children and their families,
including some alarming examples.
The work reported here provides data about MD/non-MD collaboration, discusses
practice implications, and offers suggestions about how to encourage child protection
referrals from GPs/FPs particularly to non-MD health and human service professionals.
GPs/FPs may be the province's most accessible, powerful professional resource for
children and their families, and the least motivated to take action.
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Extent |
3924111 bytes
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Genre | |
Type | |
File Format |
application/pdf
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Language |
eng
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Date Available |
2009-08-04
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Provider |
Vancouver : University of British Columbia Library
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Rights |
For non-commercial purposes only, such as research, private study and education. Additional conditions apply, see Terms of Use https://open.library.ubc.ca/terms_of_use.
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DOI |
10.14288/1.0076791
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URI | |
Degree | |
Program | |
Affiliation | |
Degree Grantor |
University of British Columbia
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Graduation Date |
2001-11
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Campus | |
Scholarly Level |
Graduate
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Aggregated Source Repository |
DSpace
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Item Media
Item Citations and Data
Rights
For non-commercial purposes only, such as research, private study and education. Additional conditions apply, see Terms of Use https://open.library.ubc.ca/terms_of_use.