Davies E, Seymour F
School of Education and Social Sciences, Auckland University of Technology.
N Z Med J. 2001 Jul 27;114(1136):334-5.
To explore referrals to medical evaluations and children's and primary carers' experiences of those evaluations in Auckland.
Semi-structured interviews were conducted with children and young people who had made clear disclosures of sexual abuse, their primary carers and the social workers involved.
More than 90% of children alleging penetration or attempted penetration were referred for a medical evaluation, but less than two thirds of children alleging oral genital or digital contact abuse were referred. Although the majority perceived the medical practitioners positively, many also commented on the distressing nature of the examinations, the photographs of children's genitalia and lack of preparation for those examinations.
The findings highlight the need for improved preparation of children and their primary carers for medical evaluations. Ongoing discussion between referring agents and medical practitioners is desirable to ensure protocols are updated and adhered to.
探讨奥克兰地区转介进行医学评估的情况以及儿童和主要照顾者对这些评估的体验。
对明确披露遭受性虐待的儿童和青少年、他们的主要照顾者以及相关社会工作者进行了半结构化访谈。
超过90%声称遭受插入或插入未遂的儿童被转介进行医学评估，但声称遭受口交、生殖器或手指接触性虐待的儿童中，只有不到三分之二被转介。尽管大多数人对医生的看法积极，但许多人也提到了检查令人痛苦的性质、儿童生殖器的照片以及对这些检查缺乏准备。
研究结果凸显了改善儿童及其主要照顾者对医学评估准备工作的必要性。转介机构和医生之间需要持续进行讨论，以确保相关规程得到更新并得到遵守。
