Unit:
Faculty of MedicineLibrary of the School of Health Sciences
Author:
Xekalaki Adamandia
Dissertation committee:
Παπαευαγγέλου Βασιλική, Καθηγήτρια, Ιατρική Σχολή, ΕΚΠΑ, Επιβλέπουσα
Παναγιωτόπουλος Παναγιώτης, Ομότιμος Καθηγητής, Εθνική Σχολή Δημόσιας Υγείας
Παπαδημητρίου Αναστάσιος, Ομότιμος Καθηγητής, Ιατρική Σχολή, ΕΚΠΑ
Αττιλάκος Αχιλλέας, Αναπληρωτής Καθηγητής, Ιατρική Σχολή, ΕΚΠΑ
Ντινόπουλος Αργύρης, Αναπληρωτής Καθηγητής, Ιατρική Σχολή, ΕΚΠΑ
Τσίτσικα Άρτεμις, Αναπληρώτρια Καθηγήτρια, Ιατρική Σχολή, ΕΚΠΑ
Αναγνωστόπουλος Δημήτρης, Ομότιμος Καθηγητής, Ιατρική Σχολή, ΕΚΠΑ
Original Title:
Υγεία και έφηβοι στις μεγάλες πόλεις της Ελλάδας: Εκτίμηση εμπειριών και αναγκών πρωτοβάθμιας φροντίδας υγείας
Translated title:
Health care experiences and needs of adolescents in urban Greece. Implications for planning appropriate health care.
Summary:
Purpose: This study aims to explore experiences and views of 15 year old adolescents on primary health care services in large cities in Greece, and make policy and practice recommendations. Methods: A representative sample of 15-year old students, living in large cities of Greece, was selected using stratified cluster sampling. Information was collected using a structured questionnaire. Results: The questionnaire was completed by 2019 of the 2342 students in the school classes selected (response rate 86%). Girls were 54%; 92% were born in Greece. Half of the students (50%) reported having communication problems with the physician(s) they usually visit. Reasons of communication problems included: a/organizational problems, e.g. inadequate consultation time (17%); b/privacy and confidentiality issues, e.g. not having the opportunity to be alone with the doctor (36%), lack of confidence that their discussion with the doctor will not be disclosed to their parents (46%); c/lack of understanding their perspective, e.g. the doctor “is not interested in my problems” (15%), he/she “does not treat me with respect” (13%). The gender of the physician is important for about one third of the students of the study sample (girls 48%, boys 23%), and girls tend to prefer a female doctor (54%). Conclusions: This study shows important communication problems of adolescents and points out contributing factors. Adolescents need developmentally appropriate health care, professionals who can communicate effectively, more consultation time, confidentiality and privacy. Service provision should be accordingly modified.
Main subject category:
Health Sciences
Keywords:
Adolescents, Communication, Confidentiality, Health care
Number of references:
345
