Primary care providers' willingness to see unaccompanied adolescents

Bravender, Terrill; Price, Caroline; English, Abigail

doi:10.1016/s1054-139x(03)00205-2

Cited by 26 publications

(20 citation statements)

References 28 publications

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“…The importance of parents' agreeing to a private discussion is related to the legal aspects of consent, competence and confidentiality regarding adolescents under the age of 18 in the context of the legal framework of any given country [18,35,37]. Even though parental consent may be granted, uncertainty over ethical and legal rights and responsibilities may lead professionals to refuse to see adolescents on their own for fear of incurring parental wrath or even legal action [37,38]. Due to the importance of these issues, various health care organizations have issued relevant guidelines [33].…”

Section: Discussionmentioning

confidence: 99%

Health Care Experiences and Needs of Adolescents in Urban Greece: Implications for Planning Appropriate Health Care

Xekalaki¹,

Papamichail²,

Nikolaidou³

et al. 2017

Health Care Current Reviews

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Purpose: This study aims to explore experiences and views of 15 year old adolescents on primary health care services in large cities in Greece, and make policy and practice recommendations.Methods: A representative sample of 15 year old students, living in large cities of Greece, was selected using stratified cluster sampling. Information was collected using a structured questionnaire. Results:The questionnaire was completed by 2019 of the 2342 students in the school classes selected (response rate 86%). Girls were 54%; 92% were born in Greece. Half of the students (50%) reported having communication problems with the physician(s) they usually visit. Reasons of communication problems included: a/organizational problems, e.g. inadequate consultation time (17%); b/privacy and confidentiality issues, e.g. not having the opportunity to be alone with the doctor (36%), lack of confidence that their discussion with the doctor will not be disclosed to their parents (46%); c/lack of understanding their perspective, e.g. the doctor "is not interested in my problems" (15%), he/ she "does not treat me with respect" (13%). The gender of the physician is important for about one third of the students of the study sample (girls 48%, boys 23%) and girls tend to prefer a female doctor (54%). Conclusion:Adolescents in this study pointed out that they need doctors who are aware of their way of thinking and problems and can communicate effectively with them; they require more consultation time, continuity of care, confidentiality and privacy. Service provision should be accordingly modified.

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Section: Discussionmentioning

confidence: 99%

Health Care Experiences and Needs of Adolescents in Urban Greece: Implications for Planning Appropriate Health Care

Xekalaki¹,

Papamichail²,

Nikolaidou³

et al. 2017

Health Care Current Reviews

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“…The results of 1 national study showed that only 64% of pediatricians and family practitioners often or always saw adolescent patients for routine health maintenance examinations without parents present. 38 Practices that maintained a specific clinic policy were less likely to see an adolescent for routine care without a parent present, compared with those without such a policy. 38 …”

Section: Current Pediatric Practicementioning

confidence: 95%

“…38 Practices that maintained a specific clinic policy were less likely to see an adolescent for routine care without a parent present, compared with those without such a policy. 38 …”

Section: Current Pediatric Practicementioning

confidence: 95%

Consent by Proxy for Nonurgent Pediatric Care

McAbee¹

2010

Pediatrics

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Minor-aged patients are often brought to the pediatrician for nonurgent acute medical care, physical examinations, or health supervision visits by someone other than their legally authorized representative, which, in most situations, is a parent. These surrogates or proxies can be members of the child's extended family, such as a grandparent, adult sibling, or aunt/uncle; a noncustodial parent or stepparent in cases of divorce and remarriage; an adult who lives in the home but is not biologically or legally related to the child; or even a child care professional (eg, au pair, nanny). This report identifies common situations in which pediatricians may encounter “consent by proxy” for nonurgent medical care for minors, including physical examinations, and explains the potential for liability exposure associated with these circumstances. The report suggests practical steps that balance the need to minimize the physician's liability exposure with the patient's access to health care. Key issues to be considered when creating or updating office policies for obtaining and documenting consent by proxy are offered.

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“…A different national study showed that 64% of pediatricians and family physicians often or always saw adolescent patients for routine health maintenance examinations without a parent present. 39 Practices that maintained a specific clinic policy were less likely to see an adolescent for routine care without a parent present than those without such a policy. 39 …”

Section: Current Pediatric Practicementioning

confidence: 98%

“…39 Practices that maintained a specific clinic policy were less likely to see an adolescent for routine care without a parent present than those without such a policy. 39 …”

Section: Current Pediatric Practicementioning

confidence: 98%

Consent by Proxy for Nonurgent Pediatric Care

Fanaroff¹

2017

Pediatrics

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Minor-aged patients are often brought to the pediatrician for nonurgent acute medical care, physical examinations, or health supervision visits by someone other than their legally authorized representative, which, in most situations, is a parent. These surrogates or proxies can be members of the child’s extended family, such as a grandparent, adult sibling, or aunt/uncle; a noncustodial parent or stepparent in cases of divorce and remarriage; an adult who lives in the home but is not biologically or legally related to the child; or even a child care provider (eg, au pair, nanny, private-duty nurse/nurse’s aide, group home supervisor). This report identifies common situations in which pediatricians may encounter “consent by proxy” for nonurgent medical care for minors, including physical examinations, and explains the potential for liability exposure associated with these circumstances. The report suggests practical steps that balance the need to minimize the physician’s liability exposure with the patient’s access to health care. Key issues to be considered when creating or updating office policies for obtaining and documenting consent by proxy are offered.

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Primary care providers' willingness to see unaccompanied adolescents

Cited by 26 publications

References 28 publications

Health Care Experiences and Needs of Adolescents in Urban Greece: Implications for Planning Appropriate Health Care

Health Care Experiences and Needs of Adolescents in Urban Greece: Implications for Planning Appropriate Health Care

Consent by Proxy for Nonurgent Pediatric Care

Consent by Proxy for Nonurgent Pediatric Care

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