Nationwide Children's Hospital, Columbus, OH, USA.
The Ohio State University College of Medicine, Division of Adolescent Medicine, Nationwide Children's Hospital, Columbus, OH, USA.
Womens Health (Lond). 2024 Jan-Dec;20:17455057241233126. doi: 10.1177/17455057241233126.
Confidential medical care for adolescent patients is essential as they are likely to forgo needed care if privacy cannot be maintained. The use of telemedicine for adolescent health has rapidly expanded due to the COVID-19 pandemic and can increase access to important services like reproductive care; however, it has raised challenges for providers, patients, and their parents/guardians related to confidentiality and privacy. Health care providers are often uncertain about the laws and regulations that govern confidential services including the 21st Century Cures Act. Through a narrative review of studies on confidentiality and telemedicine, this article seeks to summarize the available evidence and provide recommendations on maintaining privacy during virtual encounters and identify current best practices for prescribing contraception via telemedicine.
为青少年患者提供保密医疗服务至关重要，因为如果无法保护隐私，他们可能会放弃所需的医疗服务。由于 COVID-19 大流行，远程医疗在青少年健康领域的应用迅速扩大，可以增加获得生殖保健等重要服务的机会；然而，这给提供者、患者及其父母/监护人在保密性和隐私方面带来了挑战。医疗保健提供者通常对管理保密服务的法律法规（包括 21 世纪治愈法案）感到不确定。本文通过对有关保密性和远程医疗的研究进行叙述性综述，旨在总结现有证据，并就虚拟就诊期间如何保护隐私提供建议，并确定通过远程医疗开避孕药的当前最佳实践。
