Delivery of confidentiality assurances to adolescents by primary care physicians.
To investigate physicians'practices in assuring confidentiality to adolescent patients.
Seven hundred eighty-six board-certified physicians in family practice, internal medicine, obstetrics and gynecology, or pediatrics (response rate, 65%). Main Outcome Measures : Physicians were asked the percentage of adolescent patients (15 to 18 years old) with whom they discuss confidentiality during routine visits and the content of their assurances of confidentiality.
A clinical vignette assessed physicians'knowledge of legal guidelines for confidential treatment of adolescents.
Physicians reported discussing confidentiality with 53% (on average) of their adolescent patients.
Eleven percent of physicians did not discuss confidentiality with any adolescent patients.
Hierarchical linear regression used to control for other physician demographic and practice factors showed that female physicians were more likely to discuss confidentiality than were male physicians (R2 change=0.03, P<. 001).
There was also an association between specialty and discussing confidentiality (R2 change=04, P<. 001) ; obstetricians and gynecologists were more likely to discuss confidentiality than were other primary care physicians (bêta=21, P<. 001).
Among physicians who discussed confidentiality, 64% assured unconditional confidentiality and 36% assured conditional confidentiality. (...)
Mots-clés Pascal : Secret medical, Pratique professionnelle, Médecin, Enquête, Relation médecin malade, Adolescent, Homme, Etats Unis, Amérique du Nord, Amérique
Mots-clés Pascal anglais : Medical confidentiality, Professional practice, Physician, Survey, Physician patient relation, Adolescent, Human, United States, North America, America
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0341449
Code Inist : 002B30A11. Création : 12/09/1997.