Berkowitz Carol D
Department of Pediatrics, Harbor/UCLA Medical Center, Los Angeles, California 90502-2004, USA.
Pediatrics. 2008 Sep;122 Suppl 1:S10-2. doi: 10.1542/peds.2008-0715e. Epub 2008 Aug 1.
As shown previously in the Child Abuse Recognition Experience Study (CARES), primary care providers reported that they decided not to report a substantial proportion of injuries that they suspected might have resulted from abuse. The most serious cases result in death. This article provides detailed reports of 2 illustrative cases from the author's experience as a member of a multidisciplinary child fatality review team and discusses several alternative legal mechanisms for improving mandated reporting. Regional centers of excellence in child protection may be an effective way of improving child protection; current proposals to establish such centers are reviewed.
如先前在虐待儿童识别经验研究（CARES）中所示，初级保健提供者报告称，他们决定不报告很大一部分他们怀疑可能是由虐待造成的伤害。最严重的情况会导致死亡。本文详细报告了作者作为多学科儿童死亡审查团队成员的经历中的两个典型案例，并讨论了几种改善强制报告的替代法律机制。儿童保护卓越区域中心可能是改善儿童保护的有效途径；对目前建立此类中心的提议进行了审查。
