<scp>P</scp>ost‐<scp>R</scp>oe emergency medicine: Important considerations for adolescents

Vayngortin, Tatyana; Gutman, Colleen K.; Miller, Melissa K.

doi:10.1111/acem.14687

Cited by 1 publication

(2 citation statements)

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“…There is a critical need to further explore these issues as states introduce and pass legislation that has the potential to not only physically harm patients but also criminalize patients, families, and the physicians who care for them. [30][31][32] Among sexual health topics, familiarity with confidentiality laws for contraceptive services was lowest. Although not a traditional "emergency" intervention, same-day contraception initiation in the ED is acceptable to both adolescents and providers.…”

Section: Discussionmentioning

confidence: 99%

“…Although our study did not explore physician knowledge, attitudes, and behaviors regarding confidentiality around topics such as abortion and gender identity, this becomes increasingly important given rapidly changing legislation. There is a critical need to further explore these issues as states introduce and pass legislation that has the potential to not only physically harm patients but also criminalize patients, families, and the physicians who care for them 30–32 …”

Section: Discussionmentioning

confidence: 99%

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Pediatric Emergency Physicians' Knowledge, Attitudes, and Behaviors Regarding Confidential Adolescent Care

Gutman,

Koyama,

Pickett

et al. 2024

Pediatr Emer Care

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Objectives More than 19 million adolescents seek care in the emergency department (ED) annually. We aimed to describe the knowledge, attitudes, and behaviors related to confidential adolescent care among pediatric ED physicians. Methods We conducted a cross-sectional questionnaire of US physician members of the Pediatric Emergency Medicine Collaborative Research Committee survey listserv. The 24-item questionnaire assessed familiarity with adolescent confidentiality laws, attitudes toward providing confidential care, frequency of discussing behavioral health topics confidentially, and factors influencing the decision to provide confidential care. We dichotomized Likert responses and used χ2 to compare subgroups. Results Of 476 eligible physicians, 151 (32%) participated. Most (91. 4%) had completed pediatric emergency medicine fellowship. More participants reported familiarity with all sexual health-related laws compared with all mental health-related laws (64% vs 49%, P < 0.001). The median age at which participants thought it was important to begin routinely providing confidential care was 12 years; 9% thought confidential interviews should not be routinely conducted until older adolescence or at all. Their decision to provide confidential care was influenced by the following: chief complaint (97%), time (43%), language (24%), presence of family (23%) or friends (14%), and space (22%). Conclusions Respondents reported moderate familiarity with adolescent confidentiality laws. Although they viewed confidential care as something they were comfortable providing, the likelihood of doing so varied. Barriers to confidential care were influenced by their assessment of adolescents' behavioral health risk, which may contribute to health inequity. Future efforts are needed to develop strategies that augment confidential ED care for adolescents.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%