logo BDSP

Base documentaire

  1. Factors affecting the decision to seek health care : The voice of adolescents.

    Article - En anglais


    To learn from teenagers why they do, or do not, seek preventive health care.


    A teen-centered methodology utilized focus groups, nominal group technique sessions, and surveys to allow adolescents to generate, prioritize, and explain their own responses.

    This article reports the qualitative explanations offered by youths in focus groups.

    In 21 groups, teenagers commented on the 15 factors that ninth graders in the School District of Philadelphia had determined most influenced their decision to seek care.

    Transcriptions were reviewed for consistent themes.

    Direct quotations are presented here to be representative of those themes.


    Two key points emerged.

    First, adolescents are more concerned about provider characteristics than site or system characteristics.

    Second, they worry deeply about disease transmission in the health care setting.

    Teenagers suggest some simple steps that may produce significant inroads toward developing an effective working relationship with them.

    A few examples include :

    • to alleviate anxiety of disease transmission, providers should wash hands and remove instruments from sterile packaging in front of patients ;

    • to reassure teenagers of competence, providers should keep diplomas and certificates displayed ;

    • and to alleviate perceptions of racism, sites should post signs that clearly explain why patients are sometimes seen out of order.


    Adolescents know what draws them to services and what offends them. (...)

    Mots-clés Pascal : Accessibilité, Médecine préventive, Attitude, Consultation, Enquête, Etats Unis, Amérique du Nord, Amérique, Adolescent, Homme, Prise décision, Relation médecin malade

    Mots-clés Pascal anglais : Accessibility, Preventive medicine, Attitude, Consultation, Survey, United States, North America, America, Adolescent, Human, Decision making, Physician patient relation

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 98-0069654

    Code Inist : 002B30A04A. Création : 14/05/1998.