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Updated: Jun 13, 2026

Oral Health Assessment by Lay Personnel for Older Adults
08:47

Oral Health Assessment by Lay Personnel for Older Adults

Published on: February 2, 2020

A physician's perspective: elder abuse and neglect over 25 years.

James G O'Brien1

  • 1Department of Family and Geriatric Medicine, School of Medicine, University of Louisville, Louisville, Kentucky 40202, USA. jim.obrien@louisville.edu

Journal of Elder Abuse & Neglect
|April 15, 2010
PubMed
Summary

Physicians rarely report elder abuse and neglect, despite their unique position to intervene. Increased education, funding, and advocacy are needed to improve physician involvement in protecting seniors.

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Last Updated: Jun 13, 2026

Oral Health Assessment by Lay Personnel for Older Adults
08:47

Oral Health Assessment by Lay Personnel for Older Adults

Published on: February 2, 2020

Area of Science:

  • Geriatrics
  • Medical Ethics
  • Public Health

Background:

  • Elder abuse and neglect present a significant public health challenge with profound consequences for victims' well-being.
  • Physician involvement in identifying and reporting elder abuse has historically been limited compared to other professions.
  • Despite a unique position to observe and intervene, physicians' contributions to combating elder abuse remain suboptimal.

Purpose of the Study:

  • To analyze the historical involvement of physicians in addressing elder abuse and neglect over a 25-year period.
  • To identify barriers and propose remedies for enhancing physician participation in elder abuse interventions.
  • To advocate for systemic changes that support physicians in fulfilling their role in elder protection.

Main Methods:

  • Review of 25 years of data and literature on physician involvement in elder abuse cases.
  • Comparative analysis of physician reporting rates versus other professional groups.
  • Identification of potential systemic and educational interventions.

Main Results:

  • Physician contribution to addressing elder abuse and neglect has been notably limited over the past 25 years.
  • Physicians are less likely to report elder abuse compared to other healthcare and social service professionals.
  • Existing systems and lack of specific recognition hinder physician intervention.

Conclusions:

  • Physician engagement in elder abuse and neglect cases requires significant improvement.
  • Potential solutions include recognizing elder abuse as a billable syndrome, enhancing medical education on the topic, and increasing research funding.
  • Stronger advocacy from physician organizations is crucial to empower and support physicians in this critical area.