In:
Rechtsmedizin, Springer Science and Business Media LLC, Vol. 33, No. 4 ( 2023-08), p. 293-300
Abstract:
According to the Measles Protection Act, nationwide supply structures are to be created for persons who have suffered physical or sexual violence. The present study examines the care situation of victims of violence in medical institutions and the translation of theoretical knowledge of medical students into practice, related to forensically relevant aspects, in order to develop approaches for improvement. Method In the first study group, an online-based survey of medical staff in hospitals and practices was conducted on the practical handling of persons affected by violence and existing uncertainties. In the second study group, a homework assignment completed on this topic by medical students was evaluated. In addition to descriptive statistical analysis in both groups, hypothesis tests were conducted in the first study group to identify differences between experienced and inexperienced doctors. Results Of the physicians surveyed ( n = 94), 81.9% document injuries in writing, 63.8% take photographs, and 43.6% collect blood and urine samples on a case-by-case basis. Only 8.5% perform trace evidence. Uncertainties exist in detecting and addressing the consequences of violence, in preservation of evidence usable in court, and in legal aspects. Advanced training, forensic medical consultation, and examination sheets were requested as support. The evaluation of the medical students ( n = 190) revealed uncertainties especially in evidence collection and interpretation of injuries. Discussion Currently, there are glaring gaps in the care provided to victims of violence in medical facilities. The results underline support requirements regarding forensic standards rather than general medical care for victims of violence. The field of forensic medicine has the necessary expertise in these areas. In order to implement the political aspirations in compliance with the required standards, the establishment of specialized facilities with central cooperation with forensic medicine would be a sensible approach to care. In addition, binding guidelines and an intensive integration of the topic in medical studies can improve physiciansʼ confidence in acting.
Type of Medium:
Online Resource
ISSN:
0937-9819
,
1434-5196
DOI:
10.1007/s00194-023-00621-4
Language:
German
Publisher:
Springer Science and Business Media LLC
Publication Date:
2023
detail.hit.zdb_id:
1463037-0
SSG:
2
SSG:
2,1
Bookmarklink