open access

Vol 59, No 5 (2008)
Review article
Published online: 2008-09-26
Submitted: 2013-02-15
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Under-age girl as a patient of pediatric and adolescent ginecology outpatient clinic

Elżbieta Sowińska-Przepiera, Elżbieta Andrysiak-Mamos, Anhelli Syrenicz
Endokrynologia Polska 2008;59(5):412-419.

open access

Vol 59, No 5 (2008)
Review article
Published online: 2008-09-26
Submitted: 2013-02-15

Abstract

The research carried out in Poland reflected that sexual initiation before 18 years of age is a common phenomenon and refers to roughly 80% of teenagers.
In Poland there is no uniform standing of medical and legal environments with regard to dealing with a juvenile patient who has become sexually active and expects the advice of a gynaecologist, gynaecologic examination and often asks for prescribing contraceptives. The procedures must take into account the fact that in Poland, until 18 years of age, a juvenile functions under the parental or tutelary authority, while a consent for medical service requires beside of the consent of legal guardian also the consent of a juvenile who is 16 years of age and becomes a full-right patient.
According to the Act on Health Care Institutions, a patient has the right to self-decisions, the respect of physical and mental integrity and the respect of privacy, while the participation of a statutory representative post 16th year of age refers practically to co-deciding on a medical service provision. Therefore, the information received from such juvenile patient in subjective and objective examination does not have to be passed to the statutory representative, if the juvenile patient requires confidentiality and if this does not affect the patient’s health and the planned medical procedures (e.g. the necessity of making an operation). The knowledge of conduct procedures with regard to a juvenile patient as a carrier of rights shall enable doctors to make aware choices of conduct and provide services or, in most cases, only advice, without the necessity to breach the laws of Poland. (Pol J Endocrinol 2008; 59 (5): 412-419)

Abstract

The research carried out in Poland reflected that sexual initiation before 18 years of age is a common phenomenon and refers to roughly 80% of teenagers.
In Poland there is no uniform standing of medical and legal environments with regard to dealing with a juvenile patient who has become sexually active and expects the advice of a gynaecologist, gynaecologic examination and often asks for prescribing contraceptives. The procedures must take into account the fact that in Poland, until 18 years of age, a juvenile functions under the parental or tutelary authority, while a consent for medical service requires beside of the consent of legal guardian also the consent of a juvenile who is 16 years of age and becomes a full-right patient.
According to the Act on Health Care Institutions, a patient has the right to self-decisions, the respect of physical and mental integrity and the respect of privacy, while the participation of a statutory representative post 16th year of age refers practically to co-deciding on a medical service provision. Therefore, the information received from such juvenile patient in subjective and objective examination does not have to be passed to the statutory representative, if the juvenile patient requires confidentiality and if this does not affect the patient’s health and the planned medical procedures (e.g. the necessity of making an operation). The knowledge of conduct procedures with regard to a juvenile patient as a carrier of rights shall enable doctors to make aware choices of conduct and provide services or, in most cases, only advice, without the necessity to breach the laws of Poland. (Pol J Endocrinol 2008; 59 (5): 412-419)
Get Citation

Keywords

juvenile; rights of the patient; the sexual initiation

About this article
Title

Under-age girl as a patient of pediatric and adolescent ginecology outpatient clinic

Journal

Endokrynologia Polska

Issue

Vol 59, No 5 (2008)

Pages

412-419

Published online

2008-09-26

Bibliographic record

Endokrynologia Polska 2008;59(5):412-419.

Keywords

juvenile
rights of the patient
the sexual initiation

Authors

Elżbieta Sowińska-Przepiera
Elżbieta Andrysiak-Mamos
Anhelli Syrenicz

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