This study aimed to determine the primary care doctors' ability to recognize elder maltreatment and their intentions to report on such conditions. About 358 primary care doctors participated in this study. Outcomes were assessed using a validated five context-relevant clinical vignettes. Primary care doctor's recognition of sexual abuse was highest (91.0%); while the lowest (70.2%) in case signifying physical abuse. Despite being able to ascertain elder maltreatment, the intention to report the event is generally low even for cases exemplifying physical abuse, emotional abuse and neglect. However, intentions to report cases of sexual and financial abuse are 86.9% and 73.5% respectively. Findings highlighted the uncertainties of primary care doctors in distinguishing the clinical findings of non-accidental injuries and injuries due to acts of maltreatment. This provides support for educational intervention and guidelines or policies to improve the knowledge and skills of primary care doctors to intervene in elder maltreatment.

中文翻译：

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临床上对老年人虐待的认识以及在初级保健医生中报告的意愿。

这项研究旨在确定初级保健医生认识到虐待老人的能力以及他们报告此类情况的意图。约358名初级保健医生参加了这项研究。结果使用经过验证的五种与情境相关的临床短语进行评估。初级保健医生对性虐待的认可度最高（91.0％）；表示身体虐待的比例最低（70.2％）。尽管能够确定老年人受到虐待，但即使是例举身体虐待，情感虐待和忽视的情况，举报该事件的意愿也普遍较低。但是，举报性虐待和经济虐待案件的意图分别为86.9％和73.5％。调查结果突显了初级保健医生在区分非意外伤害和虐待事件造成的临床表现方面的不确定性。这为教育干预，指导或政策提供了支持，以提高初级保健医生的知识和技能，以干预老年人的虐待。