Health care reform and young adults' access to sexual health care: an exploration of potential confidentiality implications of the affordable care act
One provision of the 2010 Affordable Care Act is extension of dependent coverage for young adults aged up to 26 years on their parent's private insurance plan. This change, meant to increase insurance coverage for young adults, might yield unintended consequences. Confidentiality concerns may b...
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Veröffentlicht in: | American journal of public health (1971) 2012-10, Vol.102 (10), p.1818-1821 |
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creator | Frerich, Ellen A Garcia, Carolyn M Long, Sharon K Lechner, Kate E Lust, Katherine Eisenberg, Marla E |
description | One provision of the 2010 Affordable Care Act is extension of dependent coverage for young adults aged up to 26 years on their parent's private insurance plan. This change, meant to increase insurance coverage for young adults, might yield unintended consequences. Confidentiality concerns may be triggered by coverage through parental insurance, particularly regarding sexual health. The existing literature and our original research suggest that actual or perceived limits to confidentiality could influence the decisions of young adults about whether, and where, to seek care for sexual health issues. Further research is needed on the scope and outcomes of these concerns. Possible remedial actions include enhanced policies to protect confidentiality in billing and mechanisms to communicate confidentiality protections to young adults. |
doi_str_mv | 10.2105/AJPH.2012.300857 |
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This change, meant to increase insurance coverage for young adults, might yield unintended consequences. Confidentiality concerns may be triggered by coverage through parental insurance, particularly regarding sexual health. The existing literature and our original research suggest that actual or perceived limits to confidentiality could influence the decisions of young adults about whether, and where, to seek care for sexual health issues. Further research is needed on the scope and outcomes of these concerns. Possible remedial actions include enhanced policies to protect confidentiality in billing and mechanisms to communicate confidentiality protections to young adults.</description><identifier>ISSN: 0090-0036</identifier><identifier>EISSN: 1541-0048</identifier><identifier>DOI: 10.2105/AJPH.2012.300857</identifier><identifier>PMID: 22897544</identifier><identifier>CODEN: AJPHDS</identifier><language>eng</language><publisher>United States: American Public Health Association</publisher><subject>Adult ; Commentaries ; Confidentiality ; Health care access ; Health care policy ; Health Care Reform ; Health insurance ; Health Services Accessibility ; Humans ; Insurance coverage ; Patient Protection & Affordable Care Act 2010-US ; Patient Protection and Affordable Care Act - legislation & jurisprudence ; Public health ; Reproductive Health ; Reproductive Health Services ; Teenagers ; United States ; Womens health ; Young Adult ; Young adults</subject><ispartof>American journal of public health (1971), 2012-10, Vol.102 (10), p.1818-1821</ispartof><rights>Copyright American Public Health Association Oct 2012</rights><rights>American Public Health Association 2012 2012</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c424t-ff3db6cd0d66716d7736e680b1df18616f4fe3998c07b4bddce2548d86d9fe513</citedby><cites>FETCH-LOGICAL-c424t-ff3db6cd0d66716d7736e680b1df18616f4fe3998c07b4bddce2548d86d9fe513</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3490669/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3490669/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,723,776,780,881,27843,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22897544$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Frerich, Ellen A</creatorcontrib><creatorcontrib>Garcia, Carolyn M</creatorcontrib><creatorcontrib>Long, Sharon K</creatorcontrib><creatorcontrib>Lechner, Kate E</creatorcontrib><creatorcontrib>Lust, Katherine</creatorcontrib><creatorcontrib>Eisenberg, Marla E</creatorcontrib><title>Health care reform and young adults' access to sexual health care: an exploration of potential confidentiality implications of the affordable care act</title><title>American journal of public health (1971)</title><addtitle>Am J Public Health</addtitle><description>One provision of the 2010 Affordable Care Act is extension of dependent coverage for young adults aged up to 26 years on their parent's private insurance plan. This change, meant to increase insurance coverage for young adults, might yield unintended consequences. Confidentiality concerns may be triggered by coverage through parental insurance, particularly regarding sexual health. The existing literature and our original research suggest that actual or perceived limits to confidentiality could influence the decisions of young adults about whether, and where, to seek care for sexual health issues. Further research is needed on the scope and outcomes of these concerns. Possible remedial actions include enhanced policies to protect confidentiality in billing and mechanisms to communicate confidentiality protections to young adults.</description><subject>Adult</subject><subject>Commentaries</subject><subject>Confidentiality</subject><subject>Health care access</subject><subject>Health care policy</subject><subject>Health Care Reform</subject><subject>Health insurance</subject><subject>Health Services Accessibility</subject><subject>Humans</subject><subject>Insurance coverage</subject><subject>Patient Protection & Affordable Care Act 2010-US</subject><subject>Patient Protection and Affordable Care Act - legislation & jurisprudence</subject><subject>Public health</subject><subject>Reproductive Health</subject><subject>Reproductive Health Services</subject><subject>Teenagers</subject><subject>United States</subject><subject>Womens health</subject><subject>Young Adult</subject><subject>Young 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subjects | Adult Commentaries Confidentiality Health care access Health care policy Health Care Reform Health insurance Health Services Accessibility Humans Insurance coverage Patient Protection & Affordable Care Act 2010-US Patient Protection and Affordable Care Act - legislation & jurisprudence Public health Reproductive Health Reproductive Health Services Teenagers United States Womens health Young Adult Young adults |
title | Health care reform and young adults' access to sexual health care: an exploration of potential confidentiality implications of the affordable care act |
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