This study investigated child protection decision-making practices of healthcare-professionals in community-health-services. We examined the effect of heuristics in professional judgments regarding suspected maltreatment, as affected by the child's ethnicity, gender, and family socioeconomic-status, as well as the healthcare-worker's workload-stress, and personal and professional background. Furthermore, we examined how these variables influence judgments regarding suspected maltreatment and intentions to consult and report child-maltreatment. We used an experimental survey design including vignettes manipulating the child's characteristics. Data was collected from 412 professionals employed at various community-health-service-clinics of the largest health-management organization in northern Israel. Findings show that all subjective factors have a significant effect on suspected child-maltreatment assessment, which appears as a significant predictor of later decisions regarding consultation and reporting. This study lends support to prior research indicating that healthcare-professionals' decisions may incorporate biases, and suggests how the effects of these biases' are mediated through a sequence of decisions. Recommendations focus on providing regular consultation opportunities for practitioners.

中文翻译：

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社区医疗服务中疑似虐待儿童的专业决策中的评估、咨询、报告启发式方法。

本研究调查了社区卫生服务中卫生保健专业人员的儿童保护决策实践。我们研究了启发式对疑似虐待的专业判断的影响，受儿童种族、性别和家庭社会经济地位的影响，以及医护人员的工作压力、个人和专业背景的影响。此外，我们研究了这些变量如何影响对疑似虐待的判断以及咨询和报告虐待儿童的意图。我们使用了实验调查设计，包括操纵儿童特征的小插曲。数据来自以色列北部最大的健康管理组织的各种社区健康服务诊所的 412 名专业人员。调查结果表明，所有主观因素对疑似虐待儿童的评估都有显着影响，这似乎是有关咨询和报告的后续决定的重要预测因素。这项研究支持先前的研究，表明医疗保健专业人员的决定可能包含偏见，并表明这些偏见的影响是如何通过一系列决策来调节的。建议侧重于为从业者提供定期咨询机会。并建议如何通过一系列决策来调节这些偏见的影响。建议侧重于为从业者提供定期咨询机会。并建议如何通过一系列决策来调节这些偏见的影响。建议侧重于为从业者提供定期咨询机会。