156. Primary Care Physicians' Assurances of Confidentiality and Time Spent Alone With Adolescents During Routine Health Care Visits

Bravender, Terrill; Lyna, Pauline; Tulsky, James A.; Østbye, Truls; Dolor, Rowena J; Bilheimer, Alicia; Lin, Pao-Hwa; Pollak, Kathryn I.

doi:10.1016/j.jadohealth.2012.10.225

Cited by 1 publication

(2 citation statements)

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“…Similar to our study, others have found that no more than half of adolescents report having confidential care. 51,56 Our study suggests, however, that measures such as preventive counseling, screening, and confidential care are positively associated with report of PCC. Thus, providing PCC could be associated with improving other aspects of adolescent primary care.…”

Section: Discussioncontrasting

confidence: 50%

“…37–50 Adolescents should receive more routine STD testing and emotional and mental health screening. 37,51–55 Studies have shown that only 18% of adolescents reported discussing risky behaviors 37 and that the odds of receiving preventive counseling and screening were higher for adolescents who reported meeting privately with providers. 37,47 Providing confidential care itself is another measure of quality of adolescent primary care.…”

Section: Discussionmentioning

confidence: 99%

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Relationship Between Adolescent Report of Patient-Centered Care and of Quality of Primary Care

Toomey

Elliott

Schwebel

et al. 2016

Academic Pediatrics

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Objective Few studies have examined adolescent self-report of patient-centered care (PCC). We investigated whether adolescent self-report of PCC varied by patient characteristics and whether receipt of PCC is associated with measures of adolescent primary care quality. Methods We analyzed cross-sectional data from Healthy Passages, a population-based survey with 4,105 tenth-graders and their parents. Adolescent report of PCC was derived from four items. Adolescent primary care quality was assessed by measuring access to confidential care, screening for important adolescent health topics, unmet need, and overall rating of health care. We conducted weighted bivariate analyses and multivariate logistic regression models of the association of PCC with adolescent characteristics and primary care quality. Results Forty-seven percent of adolescents reported that they received PCC. Report of receiving PCC was associated with high quality for other measures such as having a private conversation with a clinician (AOR 2.2; 95%CI [1.9, 2.6]) and having talked about health behaviors (AOR 1.6; 95%CI [1.4, 1.8]); it was also associated with lower likelihood for self-reported unmet need for care (AOR 0.8; 95% CI [0.7, 0.9]) and having a serious untreated health problem (AOR 0.4; 95% CI [0.3, 0.5]). Conclusions Many adolescents do not report receiving PCC. Adolescent-reported PCC positively correlates with measures of high-quality adolescent primary care. Our study provides support for using adolescent-report of PCC as a measure of adolescent primary care quality.

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Section: Discussioncontrasting

confidence: 50%