Parental Perspectives on Adolescent Health-Related Confidentiality: Trust, Responsibility, and Disease Etiology as Key Themes.

As children progress through adolescence, they become more independent and more responsible regarding their health. This shift in responsibility from the parents to the adolescent poses a challenge for healthcare professionals who must consider both parties. Pediatricians and other healthcare profes...

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Publicado en:Journal of Adolescent Health Vol. 72; no. 1; pp. 21 - 27
Autores principales: Donck, Eva, Devillé, Charlotte, Van Doren, Shauni, De Coninck, David, Van Bavel, Jan, de Winter, Peter, Toelen, Jaan
Formato: research Journal Article
Publicado: Elsevier B.V. Jan2023
Acceso en línea:Ver este registro en EBSCOhost
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      jtl: Journal of Adolescent Health
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      dt: Jan2023
      vid: 72
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      pub: Elsevier B.V.
      place: New York, New York
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        160558140
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        10.1016/j.jadohealth.2022.08.019
        160558140
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        atl: Parental Perspectives on Adolescent Health-Related Confidentiality: Trust, Responsibility, and Disease Etiology as Key Themes.
      aug:
        au:
          Donck, Eva
          Devillé, Charlotte
          Van Doren, Shauni
          De Coninck, David
          Van Bavel, Jan
          de Winter, Peter
          Toelen, Jaan
        affil: Faculty of Medicine, KU Leuven, Leuven, Belgium
      sug:
        subj:
          Parents Psychosocial Factors
          Parental Attitudes Belgium
          Adolescent Health
          Privacy and Confidentiality
          Human
          Trust
          Accountability
          Disease Etiology
          Thematic Analysis
          Belgium
          Qualitative Studies
          Semi-Structured Interview
          Severity of Illness
      ab: As children progress through adolescence, they become more independent and more responsible regarding their health. This shift in responsibility from the parents to the adolescent poses a challenge for healthcare professionals who must consider both parties. Pediatricians and other healthcare professionals may encounter problems regarding consent and confidentiality. This study aimed to investigate the opinions of Belgian parents of adolescents concerning cases about confidentiality in adolescent health problems. A qualitative methodology with semi-structured interviews and a case-based approach was chosen to answer our study aim. Belgian parents of adolescents were recruited voluntarily; 20 parents were interviewed. Parents' opinions on four different cases regarding confidentiality were obtained. Interviews were audio- and video-recorded and transcribed verbatim. Independent coding of the transcripts was conducted. Parents' opinions differ considerably when asked if a physician has to maintain confidentiality toward the adolescent, depending on the content of the case. Opinions appear underpinned by three factors: trust, responsibility of the different parties, and the etiology of the problem. This study shows that the nature, severity, and frequency of the medical issue at hand shape the opinions of parents toward patient confidentiality, on top of the trust and responsibility factors also highlighted in previous work. This is in contrast to the Belgian legislation, which focuses on maturity regardless of context.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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