Department of Psychology, University of New Brunswick, 38 Dineen Drive, Fredericton, New Brunswick, Canada.
J Adolesc Health. 2010 Jul;47(1):110-2. doi: 10.1016/j.jadohealth.2009.12.029. Epub 2010 Mar 15.
Confidential care is an essential element of quality adolescent primary care. Twenty-one primary care providers tracked provision of confidential care (time alone with adolescent) and sexual health services in clinics serving low-income, primarily minority communities. Over 144 visits attended by a parent, 68% involved time alone with the adolescent. Time alone was 18 times higher for physicals than same day or walk-in visits, and 3 times higher if teen presented a sex complaint. Provision of sexual health services was 3 times higher for those who had time alone with the provider, especially among girls. The results indicate some missed opportunities to deliver needed services to at-risk populations, especially among boys.
保密护理是优质青少年初级保健的一个重要组成部分。21 名初级保健提供者在为低收入、主要是少数族裔社区服务的诊所中跟踪提供保密护理（与青少年单独相处的时间）和性健康服务的情况。在父母陪同下的 144 次就诊中，有 68%涉及与青少年单独相处的时间。与当天或随到随诊的就诊相比，体检时的单独相处时间要高出 18 倍，如果青少年提出性抱怨，则高出 3 倍。与提供者单独相处的人获得性健康服务的比例要高出 3 倍，尤其是女孩。结果表明，一些高危人群，尤其是男孩，错失了获得所需服务的机会。
