12267Wayne State University School of Medicine, Detroit, MI, USA.
242612Rutgers University, New Brunswick, NJ, USA.
Qual Health Res. 2023 Feb;33(3):220-235. doi: 10.1177/10497323231151596. Epub 2023 Jan 19.
Many challenges exist related to ensuring adolescent privacy with health care providers (HCPs), and the rapid integration of telehealth visits has created additional complexities in organizing privacy for adolescents. Through interviews with adolescent patients and their parents ( = 34), this qualitative analysis aimed to explore the complicated relationship and balance of adolescent alone time with HCPs, parental presence and support, and organization of privacy in order to consider how privacy during telehealth visits may contribute to adolescents' healthy development. A framework by Blum et al. (2014) proposed four central goals of adolescent development: emotional security, engagement with learning, self-efficacy, and decision-making skills. This conceptual framework was used to outline the ways in which adolescent privacy during telehealth impacts adolescent development. Some adolescents reported that having their parents present during their telehealth visit afforded reassurance and comfort, and many parents explained that they served as a role-model during their adolescent's telehealth visit. However, other adolescents felt higher emotional security when they could establish an independent relationship with their HCP, with many describing how privacy during their telehealth visit enabled them to have more sensitive discussions with their HCP. Adolescents and parents also reported that telehealth allowed increased experiential learning for adolescents, given their proficiency with technology and ability to access their health care visits autonomously. Furthermore, the organization of privacy was complicated by a lack of understanding whose responsibility it was to facilitate alone time between the adolescent and HCP, as well as external factors such as location and quality of technology and the proximity of family members in the home. By ensuring opportunities for private healthcare encounters, both in telehealth and in-person visits, HCPs and parents can help support adolescents in achieving successful and healthy development.
许多挑战与确保青少年与医疗保健提供者（HCP）之间的隐私有关，远程医疗访问的快速整合给组织青少年隐私带来了更多的复杂性。通过对青少年患者及其父母（共 34 人）的访谈，这项定性分析旨在探讨青少年与 HCP 单独相处时间、父母的存在和支持，以及隐私组织之间复杂的关系和平衡，以了解远程医疗访问期间的隐私如何有助于青少年的健康发展。Blum 等人（2014）提出的框架提出了青少年发展的四个核心目标：情感安全、参与学习、自我效能和决策技能。这个概念框架被用来概述远程医疗期间青少年隐私如何影响青少年发展。一些青少年报告说，在远程医疗访问期间父母在场能给他们带来安慰和安心，许多父母解释说，他们在青少年远程医疗访问期间是榜样。然而，其他青少年在与 HCP 建立独立关系时感到更高的情感安全，许多人描述了隐私如何使他们能够与 HCP 进行更敏感的讨论。青少年和父母还报告说，远程医疗使青少年获得了更多的体验式学习机会，因为他们精通技术并且能够自主访问他们的医疗保健访问。此外，隐私的组织因缺乏理解谁有责任促进青少年和 HCP 之间的独处时间而变得复杂，以及外部因素，如技术的位置和质量以及家庭中成员的接近程度。通过确保远程医疗和面对面访问中都有私人医疗保健机会，HCP 和父母可以帮助支持青少年实现成功和健康的发展。
