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Health Education Research, Vol. 10, No. 3, 345-353, 1995
© 1995 Oxford University Press

research-article

General practitioners: child accident prevention and ‘The Health of the Nation’

Denise Kendrick, Patricia Marsh1 and E.I. Williams1

1Department of General Practice, University of Nottingham Medical School Clifton Boulevard, Nottingham NG7 2UH, UK

It has recently been suggested in the ‘Health of the Nation’ that specific accident prevention activities should be undertaken by general practitioners. This study reports the findings from a survey of general practitioners in Nottinghamshire assessing knowledge, attitudes and current practices in accident prevention. The findings suggest that more than two-thirds of responding general practitioners are aware of the extent of childhood mortality from accidental injuries and of the risk factors for accidental injury. Knowledge scores were higher for women, those aged 44 years and under, those on the child health surveillance list, those with experience of hospital or community paediatrics, and those with postgraduate qualifications in paediatrics. More than 50% of general practitioners hold positive views towards the activities suggested in the ‘Health of the Nation’ and more than 40% are already carrying out such activities. Positive attitudes are more commonly held in women and those on the child health surveillance list. There was a significant correlation between knowledge score and attitude score. For all accident prevention activities covered in the questionnaire, fewer practitioners undertook an activity than held a positive attitude towards that activity. Accident prevention work is currently more likely to be undertaken by general practitioners on an opportunistic basis than on a systematic population basis. If general practitioner intervention is demonstrated to be effective, a shift towards a population approach may be more successful in reducing injury rates.


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