Role of Primary Care Paediatrician in child unintentional injury prevention in the European Union

Dear colleague,

On behalf of the European Confederation of Primary Care Paediatricians Research Working Group, we would be grateful if you take the time to answer to a survey on unintentional injury prevention in childhood. Your answers will help us to develop comprehensive guidelines for primary care paediatricians in regard to injury prevention. 

Your identity will not be revealed. For questions that you  do not have precise data please provide your best estimate. In the text, we refer to all injuries, including minor bruises, lacerations, contusions, burns as well as major injuries such as fractures, falls, traffic accidents, all that  result of unintentional injuries.

Thank you very much for your help. 

Dr. Tina Bregant   ECPCP Research Working Group
 

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* 1. In which country do you practice Primary Care Paediatrics?

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* 2. What is your gender?

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* 3. What is your age?

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* 4. How many children did you have direct contact with during your last full-time working week in an out of hospital ambulatory general practice?
Please, do not include any day or night shifts in emergency facilities.
Seasonal fluctuation is of no concern, since all participants in the survey are asked this question during the same month/season.

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* 5. How many of these children had unintentional injuries?
Please estimate the number of patients where you noted any injury (even a bruise). We ask only about your primary ambulatory practice, not the cases you saw in the Paediatrics emergency facility.

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* 6. How many of the above children with unintentional injuries did you refer to another specialist (radiologist, surgeon, etc.) or to an emergency department for further diagnosis?

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* 7. What describes best parents behaviour regarding their decision to seek medical help for their child's injury? (more than one answer is possible):

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* 8. You consider your practice as:

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* 9. Do you pay special attention to injuries in order to detect intentional injuries (child neglect/child abuse) ?

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* 10. In your practice as a primary care paediatrician, is it possible to generate summary electronic reports on the diagnoses of visits (including injuries) on a daily, weekly and/or monthly basis?

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* 11. What are the most common unintentional injuries leading to children's death (mortality) in your country (mark with 1 as being most abundant and important, 8 least abundant)?

  1 2 3 4 5 6 7 8
Traffic (Motor vehicle accidents included)
Drowning
Suffocation
Thermal injuries
Poisoning / Intoxication (including alcohol and drugs)
Falls
Sudden Infant Death Syndrome (SIDS)
injury by contact with animals (for example horse kick, dog bites, cat scratch etc.)

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* 12. What are the most common unintentional injuries leading to children's handicap and low functionality (morbidity) in your country (mark with 1 as being most abundant and important, 8 least abundant)?

  1 2 3 4 5 6 7 8
Traffic (Motor vehicle accidents included)
Drowning
Suffocation
Thermal injuries
Poisoning / Intoxication (including alcohol and drugs)
Falls
Apparent life threatening event (ALTE)
injury by contact with animals (for example horse kick, dog bites, cat scratch etc.)

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* 13. How often do you provide parents with advice (oral or written) on prevention of child injury?

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* 14. How often do you provide parents with general, standardised reading materials on prevention of child injuries (digital or printed)?

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* 15. Who created these general advice materials? (Please mark all relevant answers.)

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* 16. Are you involved in providing preventative advice at a community level (lectures to kindergartens, schools, policy-makers, NGOs, etc.)?

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* 17. Do you agree that it is the role of the PCP (Primary Care Paediatrician) to talk with parents about injury prevention?

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* 18. Which of the following topics are you talking about with parents when discussing child injury prevention? (More than one answer is possible. Mark with 1 as being most often discussed topic, 8 least discussed)?

  1 2 3 4 5 6 7 8
Traffic (Motor vehicle accidents included)
Drowning
Suffocation
Thermal injuries
Poisoning / Intoxication (including alcohol and drugs)
Falls
Apparent life threatening event (ALTE)
injury by contact with animals (for example horse kick, dog bites, cat scratch etc.)

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* 19. At what age do you usually start talking directly to children about injury prevention?

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* 20. How much do you invest in keeping up your knowledge about injury prevention?

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* 21. What limits Your ability to do a better job in preventing unintentional child injuries?  (Mark 1 as the most important, 6 least important)

  1 2 3 4 5 6
Lack of time
Lack of knowledge (the content)
Lack of skills to comunnicate knowledge (the know how)
Lack of ready-made materials
Lack of motivation
Not part of my official responsibilities

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* 22. What is Your most helpful source for up-to-date information on injury prevention? (Mark with 1 most important, 4 least important)

  1 2 3 4
 Personal contact with policy makers of injury prevention agencies
Written material (electronic, printed)
Press and media
Scientific conferences

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* 23. Is there an agency in your country (institution/organisation) that communicates  with parents about  unintentional injury to a level that makes you feel that you do not need to spend time on that matter?

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* 24. Do you know about any action regarding unintentional child injuries in your country that seems to be effective in reducing injuries?
If yes, please describe it (e.g.: helmets, car safety-belts legislation, fence around home swimming pools, campaigns like "Don't drink and drive!" etc.)

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* 25. What do you need the most in order to increase injury prevention activities in your everyday practice?
(Mark with 1 as being most important, 5 least important support)

  1 2 3 4 5
More time to talk with patients and their parents
More ready-made materials (electronic, printed)
More knowledge
More financial incentives (it does not pay off to provide prevention of injury in primary care paediatrics' practice)
More general support (press and media, governement,ministry of health)

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* 26. Is there something else that you want us to tell us regarding unintentional injuries?

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