Lithuanian general practitioners' knowledge of confidentiality laws in adolescent sexual and reproductive healthcare: a cross-sectional study.
BACKGROUND
In Lithuania, the legislation addressing confidentiality in adolescent healthcare is contradictory and vague. Previous studies have also revealed that medico-legal knowledge among physicians is poor, and attitudes play a correspondingly greater role than legal knowledge in ensuring the confidentiality of patients.


OBJECTIVE
To survey the knowledge of Lithuanian general practitioner (GPs) of legal issues surrounding confidentiality for minors in sexual and reproductive healthcare.


METHODS
A 41-item questionnaire was sent to a random sample of 607 GPs. Their legal knowledge was evaluated with respect to the provisions of the Lithuanian Law on the Rights of Patients and Compensation for Health Damage. The analysis included descriptive statistics and binary logistic regression to estimate odds ratios for the eight independent variables (age, gender, type, location, ownership, size, frequency of consultations, and existence of a written office policy).


RESULTS
The response rate was 73.5%. Of these respondents, 49.3% proved to be knowledgeable about legal standards protecting the confidentiality of adolescents in healthcare. Knowledgeability was found to be higher among GPs who had a written office policy that was based on the law. Respondents stated that the most important measure to improve confidentiality in adolescent healthcare would be the development of an explicit legal framework to address it.


CONCLUSIONS
GPs' unfamiliarity with existing confidentiality regulations implies that there are ways to improve confidentiality in sexual and reproductive care beyond merely changing the law. This study suggests the need for a comprehensive strategy, including the development of professional guidelines and written office policies coupled with legal educational programmes directed at GPs.
Division of Social Medicine and Global Health, Lund University, Sweden. Jeffrey.lazarus@med.lu.se
Jeffrey V
JV
Lazarus
Lina
L
Jaruseviciene
Jerker
J
Liljestrand
D000293:Adolescent; D016497:Adolescent Health Services / Q000331:legislation & jurisprudence*; D000328:Adult; D001291:Attitude of Health Personnel; D003219:Confidentiality / Q000331:legislation & jurisprudence*; D003267:Contraception; D003430:Cross-Sectional Studies; D005193:Family Planning Services / Q000331:legislation & jurisprudence*; D005194:Family Practice / Q000331:legislation & jurisprudence*; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008097:Lithuania; D008297:Male; D008875:Middle Aged; D010290:Parents; D010821:Physicians, Family / Q000193:education / Q000523:psychology; D011795:Surveys and Questionnaires; D014342:Truth Disclosure