東京都内の医療機関における児童虐待対応の現状について

概要

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Objective: We conducted a survey to comprehend the current state of response system to child abuse and neglect within hospitals in Tokyo, and to consider the utility of systematic response in hospital.Methods: A self-administered questionnaire containing hospital system, cooperation with relevant organizations, and recent cases of child abuse and neglect was sent to 160 hospitals with pediatric department in Tokyo.Results: We received 148 (92.5%) replies. Of these, there are 49 hospitals (33.1%) with child abuse and neglect prevention system (CAPS). Most hospitals with CAPS established adequate system to tackle child abuse and neglect cases in clinical settings. In hospitals with pediatric emergency department, the number of child abuse and neglect cases was larger in hospitals with CAPS than in hospitals without CAPS. Particularly, the number of cases responded in non-pediatric department was significantly larger in hospitals with CAPS than in hospitals without CAPS. Meanwhile, there were many problems such as "cooperation with administrative agencies" in relation to response to child abuse and neglect in hospitals.Conclusion: This study showed the utility of CAPS in hospitals. It is important that administrative agencies support system development in hospitals and enhance regional network of relevant organizations to respond child abuse and neglect.
2012-10-00