| No follow-up after positive newborn screening: medical neglect? | |
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MedLine Citation:
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PMID: 20930180 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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The current study examined medical professionals' behaviors related to reporting medical neglect when a family is noncompliant with follow-up services after a positive newborn screening result. Pediatric medical professionals within an urban medical campus were provided with five case vignettes in relation to different diseases. Medical professionals rated the severity of family noncompliance with follow-up services and indicated whether they would report suspected medical neglect to Child Protective Services (CPS). Physicians were more likely to report medical neglect than the other mandated reporters in the study. Logistic regression analyses found that medical professionals' perceptions of the severity of family noncompliance with services were significantly predictive of decisions to report medical neglect. Respondent gender and the method by which families were notified of screening results also significantly affected reporting behaviors in certain instances. Although all vignettes included information that met legal statutes for reporting neglect, medical professionals indicated that they would only report neglect 40-61% of the time across vignettes. Continued investigation of the rationale behind medical professionals' decision-making process and training protocols designed to improve mandated reporter knowledge and reporting behaviors are needed to further reduce bias and improve objectivity when considering ethical and professional obligations to report medical neglect. |
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Authors:
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Melissa T Merrick; Sakina M Butt; Jason F Jent; Nicole M Cano; Walter F Lambert; Ana V Chapman; Joseph F Griffith; Daisy Ciener; Susan K Dandes; Lee M Sanders |
Publication Detail:
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Type: Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: Child maltreatment Volume: 15 ISSN: 1552-6119 ISO Abbreviation: Child Maltreat Publication Date: 2010 Nov |
Date Detail:
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Created Date: 2010-10-08 Completed Date: 2011-02-02 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9602869 Medline TA: Child Maltreat Country: United States |
Other Details:
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Languages: eng Pagination: 315-23 Citation Subset: IM |
Affiliation:
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Department of Pediatrics, Leonard M. Miller School of Medicine, University of Miami, Miami, FL 33136, USA. melissamerrick@gmail.com |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Attitude of Health Personnel* Female Follow-Up Studies Humans Infant Welfare / prevention & control* Infant, Newborn Male Malpractice Mandatory Reporting* Middle Aged Neonatal Screening / methods* Patient Compliance / statistics & numerical data* Physician's Practice Patterns / statistics & numerical data* Physician's Role Professional-Family Relations |
| Grant Support | |
ID/Acronym/Agency:
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5T32HD07510-08/HD/NICHD NIH HHS |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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