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Confidentiality for adolescents seeking reproductive health care in Lithuania: The perceptions of general practitioners

Jaruseviciene, L ; Levasseur, G and Liljestrand, Jerker LU (2006) In Reproductive Health Matters 14(27). p.129-137
Abstract
Confidentiality is a major determinant of the accessibility and acceptability of sexual and reproductive health care for adolescents. Previous research has revealed that Lithuanian adolescents lack confidence in guarantees of confidentiality in primary health care settings. This study aimed to assess the factors that affect general practitioners' decisions whether to respect confidentiality for Lithuanian adolescents under the age of 18. Twenty in-depth interviews were carried out with a purposive sample of general practitioners. The decision whether to respect confidentiality was found to be influenced by external forces, including the legislative framework and societal attitudes towards adolescent sexuality; institutional features in... (More)
Confidentiality is a major determinant of the accessibility and acceptability of sexual and reproductive health care for adolescents. Previous research has revealed that Lithuanian adolescents lack confidence in guarantees of confidentiality in primary health care settings. This study aimed to assess the factors that affect general practitioners' decisions whether to respect confidentiality for Lithuanian adolescents under the age of 18. Twenty in-depth interviews were carried out with a purposive sample of general practitioners. The decision whether to respect confidentiality was found to be influenced by external forces, including the legislative framework and societal attitudes towards adolescent sexuality; institutional features in clinical facilities, such as the presence of a nurse during consultations and the openness of the medical record filing system; and individual factors, including GPs' relationships with adolescents' families and their personal attitudes towards sexual and reproductive health issues. The findings reflect the urgent need for a comprehensive policy to ensure adolescents' right to confidentiality in Lithuanian primary care settings, including legislative reforms, institutional changes in health care settings, professional guidelines and (self-)regulation, and changes in medical training and continuing medical education. Other ways to safeguard confidentiality in adolescent health services, such as establishing youth clinics, should also be explored. (c) 2006 Reproductive Health Matters. All rights reserved. (Less)
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author
; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Lithuania, sexual and reproductive health, general practitioners, confidentiality, adolescents and young people, reproductive rights
in
Reproductive Health Matters
volume
14
issue
27
pages
129 - 137
publisher
Elsevier
external identifiers
  • wos:000237827600014
  • pmid:16713887
  • scopus:33646518579
ISSN
1460-9576
DOI
10.1016/S0968-8080(06)27224-0
language
English
LU publication?
yes
id
1bff6da5-522b-42dd-a829-0907ab3b8273 (old id 693185)
date added to LUP
2016-04-01 12:12:52
date last changed
2021-07-21 02:05:53
@article{1bff6da5-522b-42dd-a829-0907ab3b8273,
  abstract     = {Confidentiality is a major determinant of the accessibility and acceptability of sexual and reproductive health care for adolescents. Previous research has revealed that Lithuanian adolescents lack confidence in guarantees of confidentiality in primary health care settings. This study aimed to assess the factors that affect general practitioners' decisions whether to respect confidentiality for Lithuanian adolescents under the age of 18. Twenty in-depth interviews were carried out with a purposive sample of general practitioners. The decision whether to respect confidentiality was found to be influenced by external forces, including the legislative framework and societal attitudes towards adolescent sexuality; institutional features in clinical facilities, such as the presence of a nurse during consultations and the openness of the medical record filing system; and individual factors, including GPs' relationships with adolescents' families and their personal attitudes towards sexual and reproductive health issues. The findings reflect the urgent need for a comprehensive policy to ensure adolescents' right to confidentiality in Lithuanian primary care settings, including legislative reforms, institutional changes in health care settings, professional guidelines and (self-)regulation, and changes in medical training and continuing medical education. Other ways to safeguard confidentiality in adolescent health services, such as establishing youth clinics, should also be explored. (c) 2006 Reproductive Health Matters. All rights reserved.},
  author       = {Jaruseviciene, L and Levasseur, G and Liljestrand, Jerker},
  issn         = {1460-9576},
  language     = {eng},
  number       = {27},
  pages        = {129--137},
  publisher    = {Elsevier},
  series       = {Reproductive Health Matters},
  title        = {Confidentiality for adolescents seeking reproductive health care in Lithuania: The perceptions of general practitioners},
  url          = {http://dx.doi.org/10.1016/S0968-8080(06)27224-0},
  doi          = {10.1016/S0968-8080(06)27224-0},
  volume       = {14},
  year         = {2006},
}