Teens who get in trouble with the law could benefit from accessing their health records online, a new U.S. study suggests.
Online health records can range from blood test results to a patient's full medical records including diagnosis and treatment plans.
Teens cycling through the juvenile justice system may not have parents taking them to medical appointments and keeping track of their health as other teens do. (Shawn Raecke/The Idaho Statesman/Associated Press) When teens cycle through the juvenile justice system, family members may not be keeping track of health issues like spotty immunization records, sexually transmitted infections, mental illnesses, substance abuse or even a heart defect that was repaired in infancy.
Dr. Arash Anoshiravani, an adolescent medicine specialist at Lucile Packard Children's Hospital in Sanford, Calif. and director of the Santa Clara County Juvenile Custody Institutions in northern California and his team interviewed 79 incarcerated teens who received treatment to gauge their interest in using online health records.
Internet use outside of detention was high among the teens: 87 per cent used the internet at least weekly, 97 per cent at least monthly. And 90 per cent of them expressed interest in accessing their personal health information online and sharing it with either parents or doctors, the researchers reported in Monday's issue of the journal Pediatrics.
The authors said the strong interest was unexpected.
"The expressed willingness to share that information with parents or physicians was surprising to the authors, especially given the trust breakdowns many detained youth have experienced in their lives," the study's authors concluded.
"In light of other studies revealing high levels of online engagement among teenagers, these findings suggest that implementing online health information technology would be acceptable and potentially useful both during and after detention episodes."
While a typical teen might have a parent go with them to the doctor and keep their health records, troubled teens often don't have that help, Anoshiravani said in a news release.
The study only looked at teens at one juvenile detention facility in the technology-rich Silicon Valley.
While questions about a digital divide in underserved communities remain, 65 per cent of the youth surveyed said they used personal computers or laptops to access the internet, followed by cell phone and other mobile devices at 42 per cent, with many saying they used both.
Customizing privacy settings to meet teens' confidentiality needs around their reproductive and mental health information could be become easier as electronic medical records evolve, he added.
Earlier this month, doctors at three hospitals in the U.S. who opened up their medical notes to patients said they were initially worried the notes might make patients anxious. That didn't happen. Instead, patients said they had a better understanding of their health issues.
But medical jargon and abbreviations in charts still pose a challenge, they said.
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