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January 14, 1998

Assuring Adolescents About Medical Confidentiality—Reply

Author Affiliations

Margaret A.WinkerMD, Senior EditorIndividualAuthorPhil B.FontanarosaMD, Senior EditorIndividualAuthor

JAMA. 1998;279(2):116-117. doi:10.1001/jama.279.2.113

In Reply.—Drs Sankar and Merz clearly describe the complexities of provision of confidential health care to both adolescent and adult patients. Changes in the health care system will continue to create unprecedented challenges to the privacy of patient-physician relationships.1We agree that system-level strategies must be considered to avoid betrayal of patients' trust in physicians and the health care system, particularly if those strategies include appropriate protections for the confidentiality rights of minor adolescents as well as adults.

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