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Council on Scientific Affairs, American Medical Association; Yank D. Coble, Jr, MD; E. Harvey Estes, Jr, MD; C. Alvin Head, MD; Mitchell S. Karlan, MD; William R. Kennedy, MD; Patricia Joy Numann, MD; William C. Scott, MD; W. Douglas Skelton, MD; Richard M. Steinhilber, MD; Jack P. Strong, MD; Christine C. Toevs; Henry N. Wagner, Jr, MD; Jerod M. Loeb, PhD; Robert C. Rinaldi, PhD; Janet E. Gans, PhD

JAMA. 1993;269(11):1420-1424.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

DURING the past 20 years rates of suicide,¹ illicit drug use,² sexually transmissible diseases (STDs),³ and births to single mothers⁴ have increased dramatically among adolescents. The changing nature of adolescent morbidity and mortality makes it critical that they receive medical care on a timely basis, and that barriers to care are removed.⁵ One such barrier for many adolescents is their concern about whether sensitive information shared in private with their physician will remain confidential.

See also p 1404.

This report reviews adolescents' need for confidential health services and support by physicians and organized medicine for confidential care. Examined are two major barriers to confidential medical care: the prerogative to provide informed consent for medical treatment and payment for health services. The report describes how physicians can balance parental involvement and adolescents' needs for privacy in health care decisions and strategies to allay parental concerns and . . . [Full Text PDF of this Article]

Author Affiliations
(Vice-Chairman), Jacksonville, Fla; (Chairman), Durham, NC; (Resident Representative), Tucker, Ga; Beverly Hills, Calif; Minneapolis, Minn; Syracuse, NY; Tucson, Ariz; Macon, Ga; Cleveland, Ohio; New Orleans, La; (Medical Student Representative), Greenville, NC; Baltimore, Md; (Secretary), Chicago, Ill; (Assistant Secretary), Chicago, Ill; (staff author), Chicago, Ill.

From the Council on Scientific Affairs, American Medical Association, Chicago, Ill.

Footnotes
This report was presented at the 1992 House of Delegates Annual Meeting as Report A of the Council on Scientific Affairs. The recommendations were adopted as amended, and the remainder of the report was filed.

This report is not intended to be construed or to serve as a standard of medical care. Standards of medical care are determined on the basis of all the facts and circumstances involved in an individual case and are subject to change as scientific knowledge and technology advance and patterns of practice evolve. This report reflects the scientific literature as of June 1992.

Reprint requests to the Group on Science and Technology, American Medical Association, 515 N State St, Chicago, IL 60610 (Janet E. Gans, PhD).

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