Polish adolescents' right to confidential primary health care is not respected despite high public acceptance.


Journal

Acta paediatrica (Oslo, Norway : 1992)
ISSN: 1651-2227
Titre abrégé: Acta Paediatr
Pays: Norway
ID NLM: 9205968

Informations de publication

Date de publication:
Oct 2021
Historique:
revised: 19 05 2021
received: 15 03 2021
accepted: 22 06 2021
pubmed: 24 6 2021
medline: 21 9 2021
entrez: 23 6 2021
Statut: ppublish

Résumé

The right of underaged patients to confidential health care should be considered an inalienable human right. Access to such care is also advisable according to contemporary medical knowledge. The aim of this study was to verify the extent this right is exercised in Poland and to examine social attitudes towards this issue. A sample of Polish school-age pupils and parents (n = 800) was surveyed using an online questionnaire. Only 4.2% of the surveyed adolescents were offered private time with a doctor during their last preventive visit (well-child visit), and this was more frequent for girls. At the same time, a very high level of acceptance for private time with a doctor was observed among Polish adolescents (90.8%) and their parents (84.3%). Our findings suggest serious deficiencies in the protection of adolescent patients confidentiality. It is necessary to change medical practice and adapt legal regulations to the provisions of the Convention on the Rights of the Child.

Identifiants

pubmed: 34160862
doi: 10.1111/apa.16001
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

2850-2855

Subventions

Organisme : Medical University of Warsaw

Informations de copyright

©2021 Foundation Acta Paediatrica. Published by John Wiley & Sons Ltd.

Références

Nair M, Baltag V, Bose K, Boschi-Pinto C, Lambrechts T, Mathai M. Improving the quality of health care services for adolescents, globally: a standards-driven approach. J Adolesc Health. 2015;57(3):288-298.
https://fra.europa.eu/en/publication/2017/mapping-minimum-age-requirements/access-abortion-services [Accessed 16 May 2021]
Pediatrics. Committee on adolescence (American Academy of Pedriatrics). Achieving quality health services for adolescents. 2016;138(2):e20161347.
Carlisle J, Shickle D, Cork M, McDonagh A. Concerns over confidentiality may deter adolescents from consulting their doctors. A qualitative exploration. J Med Ethics. 2006;32(3):133-137.
Gilbert AL, Rickert VI, Aalsma MC. Clinical conversations about health: the impact of confidentiality in preventive adolescent care. J Adolesc Health. 2014;55(5):672-677.
UN Committee on the Rights of the Child (CRC). General comment No. 12 (2009): The right of the child to be heard. 20 July 2009, CRC/C/GC/12, para 101. https://www.refworld.org/docid/4ae562c52.html. [Accessed 16 May 2021].
UN Committee on the Rights of the Child (CRC). General comment No. 15 (2013) on the right of the child to the enjoyment of the highest attainable standard of health (art. 24). 17 April 2013, CRC/C/GC/15, para 31. https://www.refworld.org/docid/51ef9e134.html. [Accessed 16 May 2021].
https://fra.europa.eu/en/publication/2017/mapping-minimum-age-requirements/medical-advice. [Accessed 16 May 2021].
Henzler M, Olechnowicz S, Jacewicz J, Papaj B, Nitsch-Osuch A, Bogdan M. Prophylactic medical examination of 15/16 year old from the Warsaw Agglomeration. Evaluation of the implementation of standards in practice. Pol Merkur Lekarski. 2021;49(290):114-118.
Baldridge S, Symes L. Just between us: an integrative review of confidential care for adolescents. J Pediatr Health Care. 2018;32(2):e45-e58.
Thomsen EL, Khoury LR, Møller T, Boisen KA. Parents to chronically ill adolescents have ambivalent views on confidential youth consultations - a mixed methods study. International Journal of Adolescent Medicine and Health. 2019. http://dx.doi.org/10.1515/ijamh-2018-0226
Rutishauser C, Esslinger A, Bond L, Sennhauser FH. Consultations with adolescents: the gap between their expectations and their experiences. Acta Paediatr. 2003;92(11):1322-1326.
Adams SH, Po J, Jane Park M, Irwin CE Jr. Monitoring adolescents’ receipt of time alone from two national surveys. J Adolesc Health. 2021;68(1):79-85.
Grilo SA, Catallozzi M, Santelli JS, et al. Confidentiality discussions and private time with a health-care provider for youth, United States, 2016. J Adolesc Health. 2019;64(3):311-318.
Edman JC, Adams SH, Park MJ, Irwin CE Jr. Who gets confidential care? Disparities in a national sample of adolescents. J Adolesc Health. 2010;46(4):393-395.
Lewis Gilbert A, McCord AL, Ouyang F, et al. Characteristics associated with confidential consultation for adolescents in primary care. J Pediatr. 2018;199:79-84.e1.
Song X, Klein JD, Yan H, et al. Parent and adolescent attitudes towards preventive care and confidentiality. J Adolesc Health. 2019;64(2):235-241.
Jaruseviciene L, Lazarus JV, Zaborskis A. Attitude of Lithuanian residents to confidentiality of adolescent sexual and reproductive health care. Cent Eur J Public Health. 2011;19(4):210-216.
https://fra.europa.eu/en/publication/2017/mapping-minimum-age-requirements/sexual-health-services. [Accessed 16 May 2021].
Kubiak R. The right to intimacy of minors in the practice of pediatric endocrinologists. Pediatr Endocrinol Diabetes Metab. 2019;25(4):216-233.
Wheeler R. Gillick or fraser? A plea for consistency over competence in children. BMJ. 2006;332(7545):807.
Pérez-Cárceles MD, Pereñiguez JE, Osuna E, Pérez-Flores D, Luna A. Primary care confidentiality for Spanish adolescents: fact or fiction? J Med Ethics. 2006;32(6):329-334.
Jaruseviciene L, Levasseur G, Liljestrand J. Confidentiality for adolescents seeking reproductive health care in Lithuania: the perceptions of general practitioners. Reprod Health Matters. 2006;14(27):129-137.
Jeremic Stojkovic V, Cvjetkovic S, Matejic B, Gazibara T. Adolescents’ right to confidential health care: knowledge, attitudes and practice of pediatricians and gynecologists in the primary healthcare sector in Belgrade, Serbia. Int J Public Health. 2020;65(8):1235-1246.
Wadman R, Thul D, Elliott AS, Kennedy AP, Mitchell I, Pinzon JL. Adolescent confidentiality: understanding and practices of health care providers. Paediatr Child Health. 2014;19(2):e11-e14.
Hutchinson JW, Stafford EM. Changing parental opinions about teen privacy through education. Pediatrics. 2005;116(4):966-971.
Jenni OG. Starting the debate: rethinking well-child care in Europe. J Pediatr. 2016;179:276-277.e1.
Michaud PA, Schrier L, Ross-Russel R, et al. Paediatric departments need to improve residents’ training in adolescent medicine and health: a position paper of the European Academy of Paediatrics. Eur J Pediatr. 2018;177(4):479-487.

Auteurs

Michał Henzler (M)

Department of Social Medicine and Public Health, Medical University of Warsaw, Warsaw, Poland.

Katarzyna Trzos (K)

Department of Social Medicine and Public Health, Medical University of Warsaw, Warsaw, Poland.

Julia Głuchowska (J)

Department of Social Medicine and Public Health, Medical University of Warsaw, Warsaw, Poland.

Maksym Pietruszkiewicz (M)

Department of Social Medicine and Public Health, Medical University of Warsaw, Warsaw, Poland.

Aneta Nitsch-Osuch (A)

Department of Social Medicine and Public Health, Medical University of Warsaw, Warsaw, Poland.

Magdalena Bogdan (M)

Department of Social Medicine and Public Health, Medical University of Warsaw, Warsaw, Poland.

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