Agostino Holly, Toulany Alene
Canadian Paediatric Society, Adolescent Health Committee, Ottawa, Ontario, Canada.
Paediatr Child Health. 2023 May 16;28(3):172-183. doi: 10.1093/pch/pxac117. eCollection 2023 Jun.
A hallmark of delivering quality adolescent health care services is the provision of confidential care. Key tenets when providing confidential care for adolescents include time alone with a health care provider, maintaining the privacy of health information, and securing informed consent for services without permission from a parent, guardian, or caregiver. While confidentiality is a basic principle for all health care encounters regardless of age, the unique considerations for capable adolescent patients are not always realized or appreciated. By ensuring appropriate quantity and quality of confidential care for adolescents, clinicians are better equipped to elicit a comprehensive history and physical examination, while empowering the adolescent involved to develop agency, autonomy, trust, and responsibility for their own health care decision-making and management.
提供高质量青少年医疗服务的一个标志是提供保密护理。为青少年提供保密护理时的关键原则包括与医疗服务提供者单独相处的时间、维护健康信息的隐私以及在未经父母、监护人或照顾者许可的情况下获得服务的知情同意。虽然保密是所有医疗接触的基本原则，无论年龄大小，但有能力的青少年患者的独特考量并不总是能得到认识或重视。通过确保为青少年提供适当数量和质量的保密护理，临床医生能更好地获取全面的病史和进行体格检查，同时使参与其中的青少年有能力为自己的医疗决策和管理培养自主性、自主权、信任和责任感。
