Role of medical practitioners in prevention and investigation of violence against children, and need to strengthen interdisciplinary cooperation in Latvia

Ilze Bērziņa
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Abstract

The role of medical practitioners in preventing violence is evident; however, it is not as simple as it looks, as medicsconsider medical assistance and treatment as their primary work mission. At the same time, as any other citizen, theyare obliged to report violence, thereby helping to prevent it. The methodology employed in this study encompasseda review of legal frameworks and literature, open interviews with medical practitioners, and a meticulous analysis ofinternal documents and data systems. By synthesizing these methods, the research gained valuable insights into thechallenges faced by medical professionals in preventing violence and identified opportunities for enhancing coopera-tion within the healthcare system. This comprehensive approach facilitated a nuanced exploration of the integrationof legislative aspects into the daily routines of medical practitioners to advance the implementation of the Barnahusmodel in Latvia. The article gives insights into key existing documents and provides a detailed study of the availableinternal documents, data systems (patients’ electronic cards) and guidelines (recognition, recording and reporting ofviolence), with a view to understanding the importance of internal processes in order to identify and retain evidence.As regards the integration of legislative aspects into their daily routine, institutions need an effective internal processand guidelines which make it easy to record the fact of violence and evidence during the daily routine of professionals.Emphasis is also placed on increasing the cooperation and prevention role of medical practitioners, so that Latvia cansuccessfully implement the Barnahus model.
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医生在预防和调查暴力侵害儿童行为方面的作用,以及拉脱维亚加强跨学科合作的必要性
医生在预防暴力方面的作用是显而易见的;然而,这并不像看起来那么简单,因为医务人员将医疗援助和治疗视为他们的主要工作任务。与此同时,与任何其他公民一样,他们有义务举报暴力,从而帮助防止暴力。本研究采用的方法包括对法律框架和文献的回顾,对医疗从业者的公开访谈,以及对内部文件和数据系统的细致分析。通过综合这些方法,该研究对医疗专业人员在预防暴力方面面临的挑战获得了宝贵的见解,并确定了加强医疗保健系统内合作的机会。这种全面的方法有助于细致入微地探索将立法方面纳入医生的日常工作,以推动在拉脱维亚实施barnahuss模式。本文对现有的关键文件进行了深入分析,并对现有的内部文件、数据系统(患者电子卡)和指导方针(暴力行为的识别、记录和报告)进行了详细研究,以期了解内部流程对识别和保留证据的重要性。关于将立法方面纳入其日常工作,各机构需要一个有效的内部程序和指导方针,以便在专业人员的日常工作中方便地记录暴力事实和证据。重点还放在加强医疗从业人员的合作和预防作用上,以便拉脱维亚能够成功实施巴纳胡斯模式。
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