Approaches for child abuse and neglect of the emergency hospital in Osaka, Japan

Background: “Healthy Parents and Children 21(Second Phase)” (2015-2025) is a national campaign to promote a variety of approaches to improve health standards of mothers and children. One of the important issues of the plan... [ view full abstract ]

Background: “Healthy Parents and Children 21(Second Phase)” (2015-2025) is a national campaign to promote a variety of approaches to improve health standards of mothers and children. One of the important issues of the plan is preventive measures against CAN from a gestation period, and one of the aims is to prepare for a system corresponding CAN in all emergency hospitals.
Aim: To clarify the situation of the emergency hospital in Osaka.
Objectives: 283 emergency hospitals in Osaka (all hospitals are 535).
Method: Questionnaire survey by the mail in 2015.
Results: We got replies from 167 hospitals (59.0%). 44 hospitals (26.3%.A) with both pediatrics and obstetrics & gynecology department, 31 hospitals (18.6%. B) with pediatrics or obstetrics & gynecology department, 92 hospitals(55.1%.C) without both pediatrics and obstetrics & gynecology department. 50.0% of A, 15.2% of B and 3.3% of C had CPT, and 63.6% of A, 32.3% of B and 10.9% of C had the manual about CAN. 34.1 % of A, 9.7 % of B, and 4.3 % of C gave the training about CAN for the staff. 68.2% of A, 32.3% of B and 5.4% of C gave notice of CAN to CPS in 2014.
Discussion: The hospitals with both pediatrics and obstetrics & gynecology department were high in a setting rate of the CPT, in a preparing rate of the CAN manual, and in a training rate for staff. The notice experience percentage were high, too. However, the enhancement of CAN action for the emergency hospital in Osaka is necessary because half does not have CPT even if A.