Journal of Adolescent Health
Volume 44, Issue 3 , Pages 244-251, March 2009

Adolescent Access to Online Health Services: Perils and Promise

  • Megan A. Moreno, M.D., M.S.Ed., M.P.H.

      Affiliations

    • Department of Pediatrics, Section of Adolescent Medicine, University of Washington, Seattle, Washington
    • Children's Hospital and Regional Medical Center, Seattle, Washington
    • Corresponding Author InformationAddress for correspondence: Megan A. Moreno, M.D., M.S.Ed., M.P.H., University of Wisconsin-Madison, 600 Highland Ave, CSC H4/444, Madison, WC 53792-4108.
  • ,
  • James D. Ralston, M.D., M.P.H.

      Affiliations

    • Center for Health Studies, Group Health Cooperative, Seattle, Washington
  • ,
  • David C. Grossman, M.D., M.P.H.

      Affiliations

    • Center for Health Studies, Group Health Cooperative, Seattle, Washington

Received 19 March 2008; accepted 31 July 2008. published online 11 November 2008.

Abstract 

Purpose

Many health care institutions provide online health services to adult patients and proxy access to parents of young children. Many of the benefits and barriers to providing such services to adolescent patients remain unclear.

Methods

The present work is based on a literature review and expert opinion synthesis.

Results

Potential benefits of providing online health services to adolescents include improved health care access, health literacy, and ongoing care. Potential barriers include information complexity, confidentiality concerns, legal issues, and management priorities.

Conclusions

Although barriers exist to implementing adolescent access to online health services, the potential benefits are significant. Overcoming these barriers will involve invoking legal and policy strategies and refocusing priorities on adolescent health.

Keywords: Adolescent health, Health services, Health care access, Information technology, Electronic medical records, Patient–provider communication, Internet

 

PII: S1054-139X(08)00342-X

doi:10.1016/j.jadohealth.2008.07.015

Journal of Adolescent Health
Volume 44, Issue 3 , Pages 244-251, March 2009