Context. - Adolescents'concerns about privacy in clinical settings decrease their willingness to seek health care for sensitive problems and may inhibit their communication with physicians.
- To investigate the influence of physicians'assurances of confidentiality on adolescents'willingness to disclose information and seek future health care.
- Randomized controlled trial.
- Three suburban public high schools in California.
- The 562 participating adolescents represented 92% of students in mandatory classes.
- After random assignment to 1 of 3 groups, the adolescents listened to a standardized audiotape depiction of an office visit during which they heard a physician who assured unconditional confidentiality, a physician who assured conditional confidentiality, or a physician who did not mention confidentiality.
- Adolescents'willingness to disclose general information, willingness to disclose information about sensitive topics, intended honesty, and likelihood of return visits to the physician depicted in the scenario were assessed by anonymous written questionnaire.
- Assurances of confidentiality increased the number of adolescents willing to disclose sensitive information about sexuality, substance use, and mental health from 39% (68/175) to 46. (...)
Mots-clés Pascal : Confidentialité, Relation médecin malade, Randomisation, Communication information, Soin santé primaire, Aspect social, Critère décision, Etude comparative, Expérience professionnelle, Etudiant, Article synthèse, Ethique
Mots-clés Pascal anglais : Confidentiality, Physician patient relation, Randomization, Information communication, Primary health care, Social aspect, Decision criterion, Comparative study, Professional experience, Student, Review, Ethics
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0505824
Code Inist : 002B30A09. Création : 13/02/1998.