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Toward youth friendly services: a survey of young people in primary care.

Abstract：

BACKGROUND:The World Health Organization encourages the development of youth friendly services, yet little is known on how youth currently present in general practice. OBJECTIVE:To describe the perspectives, expectations, and service receipt of young people presenting to family doctors to inform the development of youth friendly services. DESIGN:Cross-sectional survey. PARTICIPANTS AND MEASUREMENTS:Consecutive young people attending 26 randomly selected practices were recruited in the waiting rooms. Standardized instruments were used to interview them before their consultation. RESULTS:Of 501 young people who were approached, 450 participated (91% participation rate). Most had respiratory (26%) or dermatological complaints (18%). When asked to assess their health status, 59% perceived they had neither a physical nor a mental illness. However, 43% stated they had fears about their health problem and 1 in 5 feared it could be life-threatening. Although only 10% presented with psychological complaints, 24% perceived they currently had a mental illness. The most common expectations were treatment (50%) and good communication (42%). Most youth were prescribed medication (60%), but 40% of those who received a prescription had not expected to receive a treatment. A follow-up appointment was offered to 57% of participants. CONCLUSIONS:This study identifies a gap between young people's perception of illness and their presentations to family doctors. It also highlights unexpected fears, and a mismatch between expectations and service receipt. These findings have implications for family medicine training and for clinical practice. They should inform the development of youth friendly services.

journal_name

J Gen Intern Med

journal_title

Journal of general internal medicine

authors

Haller DM,Sanci LA,Patton GC,Sawyer SM

doi

10.1007/s11606-007-0177-5

subject

Has Abstract

pub_date

2007-06-01 00:00:00

pages

775-81

issue

6

eissn

0884-8734

issn

1525-1497

journal_volume

22

pub_type

杂志文章

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