Variation in Recorded Child Maltreatment Concerns in UK Primary Care Records: A Cohort Study Using The Health Improvement Network (THIN) Database
- Woodman Jenny
- Freemantle Nick
- Allister Janice
- de Lusignan Simon
- Gilbert Ruth
- Petersen Irene
DOIAbstract
To determine variation over time and between practices in recording of concerns related to abuse and neglect (maltreatment) in children's primary care records.Retrospective cohort study using a United Kingdom representative primary care database.448 General Practices.In total 1,548, 972 children (<18 y) registered between 1995 and 2010.Change in annual incidence of one or more maltreatment-related codes per child year of registration. Variation between general practices measured as the proportion of registered children with one or more maltreatment-related codes during 3 years (2008–2010).From 1995–2010, annual incidence rates of any coded maltreatment-related concerns rose by 10.8% each year (95% confidence interval 10.5, 11.2; adjusted fo...
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