Privacy and Confidentiality Practices In Adolescent Family Planning Care At Federally Qualified Health Centers

Beeson, Tishra; Mead, Katherine; Wood, Susan F.; Goldberg, Debora Goetz; Shin, Peter; Rosenbaum, Sara

doi:10.1363/48e7216

Cited by 18 publications

(13 citation statements)

References 20 publications

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“…Best practices for supporting adolescents’ confidentiality when seeking SRH services have been established [ 26 , 27 ]; nevertheless, complex and contradictory policies regarding adolescents’ right to confidential care may continue to be a barrier to implementing safeguards to confidential care in some settings [ 28 ]. In this study we found that Medicaid-covered youth were less likely to report confidentiality concerns, suggesting the importance of programs that explicitly guarantee confidential care for adolescent access to SRH care.…”

Section: Discussionmentioning

confidence: 99%

Adolescents' and Young Adults' Reports of Barriers to Confidential Health Care and Receipt of Contraceptive Services

Fuentes

Ingerick

Jones

et al. 2018

Journal of Adolescent Health

102

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Purpose The purpose of this study was to describe adolescents’ and young adults’ concerns about confidential reproductive health care and experience with time alone with a provider, and examine the association of these confidentiality issues with receipt of contraceptive services. Methods Data from the 2013 to 2015 National Survey of Family Growth were analyzed using Poisson regression to describe 15- to 25-year-olds’ confidential reproductive health-care concerns and time alone with a provider at last health-care visit according to sociodemographic characteristics. We also assessed whether confidentiality issues were associated with obtaining contraceptive services among females. Results Concerns about confidential reproductive health care were less common among 15- to 17-year-olds who were covered by Medicaid compared to their parents’ private insurance (adjusted risk ratio [ARR] = .61, confidence interval [CI] .41–.91) and had high-school graduate mothers compared to college-graduate mothers (ARR = .68, CI .47–.99), and were more common among those who lived with neither parent compared to living with both parents (ARR = 2.0, CI 1.27–3.16). Time alone with a provider was more common among black girls than white girls (ARR = 1.57, CI 1.11–2.22) and less common among girls covered by Medicaid than those with parents’ private insurance (ARR = .72, CI .56–.92). Time alone was less common among boys living with neither parent compared to living with two parents (ARR = .48, CI .25–.91) and with high-school graduate mothers compared to college-graduate mothers (ARR = .59, CI .42–.84). Among sexually experienced girls and women, confidentiality concerns were associated with a reduced likelihood of having received a contraceptive service in the past year. Conclusions Greater efforts are needed to support young Americans in receiving confidential care.

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Section: Discussionmentioning

confidence: 99%

Adolescents' and Young Adults' Reports of Barriers to Confidential Health Care and Receipt of Contraceptive Services

Fuentes

Ingerick

Jones

et al. 2018

Journal of Adolescent Health

102

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“…Family planning services are limited by governmental programs through commercial retail sales and are trying to adopt inappropriate aspects of family planning [ 15 ]. The aim of these centers should be to provide services to all, irrespective of the country’s economic situation, providing birth control methods using the medical profession and health services to adolescents to understand contraceptive options and to act quickly by choosing the most appropriate method [ 16 , 17 ]. There are many methods of contraception.…”

Section: Discussionmentioning

confidence: 99%

“…Contraceptive methods are divided in natural, hormonal, intrauterine, spermicide, barrier methods and male contraception. Physical methods include periodic abstinence and coitus interruptus [ 17 , 18 ]. Effective contraceptive behaviors are not an individual achievement; on the contrary, choosing the right method depends on the increased resources that go into research and family planning services with reversible methods of contraception [ 17 , 18 ].…”

Section: Discussionmentioning

confidence: 99%

“…Physical methods include periodic abstinence and coitus interruptus [ 17 , 18 ]. Effective contraceptive behaviors are not an individual achievement; on the contrary, choosing the right method depends on the increased resources that go into research and family planning services with reversible methods of contraception [ 17 , 18 ]. The recommend choice criteria for the individual suitable method are as follows: use of a contraceptive (CM) method in any case, no limitation on contraceptive (CM), general use CM, received benefits (of the CM) predominate over theoretical or clinically proven risks, risks override reception benefits (CM), high risk and finally use of CM only, non-existent alternative and inappropriate method for use.…”

Section: Discussionmentioning

confidence: 99%

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Ten Years of Experience in Contraception Options for Teenagers in a Family Planning Center in Thrace and Review of the Literature

Tsikouras

Deuteraiou

Bothou³

et al. 2018

IJERPH

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Introduction: The goal of our study was to investigate and evaluate the contraceptive behavior in teenagers from our family planning centre that services two different religious and socioeconomic populations living in the Thrace area. Methods: During the last 10 years 115 Christian Orthodox (group A) and 53 Muslim teenagers (group B) were enrolled in our retrospective study. Contraceptive practice attitudes were assessed by a questionnaire. Religion, demographics, socio-economic characteristics were key factors used to discuss contraception and avoid unplanned pregnancy in each group and to compare with the contraceptive method used. Results: The most used contraceptive method—about two times more frequently—among Christian Orthodox participants was the oral contraceptive pill (p = 0.015; OR = 1.81, 95% CI = 1.13–2.90), while in the other group the use of condoms and IUDs was seven and three times more frequent, respectively. Our family planning centre was the main source of information for contraception. Conclusions: During adolescence, the existence of a family planning centre and participation in family planning programs plays a crucial role to help the teenagers to improve their knowledge and choose an effective contraception method.

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“…Many family planning delivery sites face conflicts between state legal requirements for confidentiality of services and the level of confidentiality requested by patients. 32 Several recommendations to improve confidentiality of services are reported in a recent study on confidentiality and insurance billing at specialized family planning clinics. 33 This study recommends that providers screen for confidentiality at each appointment by asking questions such as: "Can we send a bill home that would say what services you got today?"…”

Section: Framework For Patient-centered Family Planning Servicesmentioning

confidence: 99%

Patient perspectives on quality family planning services in underserved areas

Goldberg¹,

Sahgal²,

Beeson³

et al. 2017

Patient Experience Journal

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Ongoing challenges impede efforts to improve the quality of family planning services in underserved communities, which by definition lack sufficient numbers of physicians and other health professionals. Challenges to improving the quality of family planning services include financing difficulties, lack of standards, training deficiencies, as well as little understanding and attention to patient preferences. The objectives of this study were to explore female patients' preferences for family planning services in underserved areas and to develop a framework to help providers improve patient-centered care. The methodology for this paper included mixed methods research including a survey of women between the ages of 18 and 44 in 19 underserved communities (n=1868) across the United States and qualitative research involving 16 focus groups (n=103) to explore patient preferences and experiences with family planning services. Descriptive statistics of survey items and thematic analysis of transcripts were utilized to analyze study data. Triangulation of data sources and methods resulted in an overall framework for patient-centered family planning care. The results show women in underserved areas identified important aspects of family planning care as: relationship with provider, communication, confidentiality in receiving care, provider competence, service access and convenience. The conclusion suggests improving patient-centered care for family planning services could improve outcomes by increasing patient return for follow up care, patient pursuit of other primary and preventive care services, continuation rates of contraceptive method, and higher contraceptive use. Achieving patient-centered family planning care will require investments in human capital and technology, modifications in clinic operations, and an organizational culture focused on patient preferences and experience.

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Privacy and Confidentiality Practices In Adolescent Family Planning Care At Federally Qualified Health Centers

Abstract: The organizational practices used to ensure adolescent family planning confidentiality in FQHCs are varied across organizations.

Cited by 18 publications

References 20 publications

Adolescents' and Young Adults' Reports of Barriers to Confidential Health Care and Receipt of Contraceptive Services

Adolescents' and Young Adults' Reports of Barriers to Confidential Health Care and Receipt of Contraceptive Services

Ten Years of Experience in Contraception Options for Teenagers in a Family Planning Center in Thrace and Review of the Literature

Patient perspectives on quality family planning services in underserved areas

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