[Youth-friendly outpatient care].

Title[Youth-friendly outpatient care].
Publication TypeJournal Article
Year of Publication2009
AuthorsMauerhofer, A, Akré, C, Michaud, P-A, Surís, J-C
JournalArch Pediatr
Volume16
Issue8
Pagination1151-7
Date Published2009 Aug
DOI10.1016/j.arcped.2009.03.020
ISSN1769-664X
KeywordsAdolescent, Adolescent Health Services, Ambulatory Care, Confidentiality, Continuity of Patient Care, Female, France, Health Knowledge, Attitudes, Practice, Health Services Accessibility, Humans, Male, Mass Screening, Needs Assessment, Patient Education as Topic, Pediatrics, Physician-Patient Relations, Preventive Health Services, Primary Health Care, Referral and Consultation, Risk-Taking
Abstract

Ambulatory pediatric and family medicine takes care of adolescent patients, most of whom regularly consult a physician. Consultations with young people involve issues specifically related to their age. Regarding health care systems and physicians, adolescents' expectations vary from those of adults, not so much in terms of the issues discussed but in terms of the priorities that they give to them. Confidential interviews are not always proposed but are highly appreciated, as are certain personal qualities on the part of the caregivers such as honesty, respect, and friendliness. Finally, easy access to care together with the continuity of care are essential. Prevention of risk behaviors by screening and health education is clearly insufficient. This issue could be approached during the consultation through a psychosocial history. This is a good opportunity to discuss sensitive issues that adolescents seldom bring up themselves. More systematic prevention would probably decrease youth morbidity and mortality, which are both closely related to risk behaviors. To meet these expectations and special health care needs, the World Health Organization has developed the concept of youth-friendly health services. This concept can be applied in both a specialized adolescence center and a pediatric or family practice. Youth-friendly services are still rarely evaluated but seem to bring a clear benefit in terms of patient satisfaction and access to care.

Alternate URL

http://www.ncbi.nlm.nih.gov/pubmed/19410439?dopt=Abstract

Alternate JournalArch Pediatr
Original PublicationLa médecine ambulatoire youth-friendly
Citation Key / SERVAL ID2764
PubMed ID19410439

                         

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