{
  "abstract": "Confidentiality is the cornerstone of effective adolescent healthcare. The trust that sensitive information will be protected enables young people to disclose critical health concerns related to reproductive health, mental health, substance use or other sensitive matters they have the legal right to consent to and seek essential care. As health systems accelerate digital access globally, this foundational trust is becoming increasingly fragile. Electronic health records (EHRs) and patient portals were largely designed to empower patients and were built around the needs of autonomous adults. Adolescents occupy a distinct developmental and legal space, dependent in important ways yet entitled to privacy for certain services. That mismatch creates a digital privacy problem that is best understood as an interoperability paradox: systems built to share more information more seamlessly can inadvertently expose the very information that most requires protection.1",
  "authors": [
    {
      "affiliations": [
        "Department of Pediatrics, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania, USA",
        "Craig-Dalsimer Division of Adolescent Medicine, The Children’s Hospital of Philadelphia, Philadelphia, Pennsylvania, USA"
      ],
      "name": "Scott K Jelinek"
    },
    {
      "affiliations": [
        "Division of Adolescent and Young Adult Medicine, University of California San Francisco, San Francisco, California, USA"
      ],
      "name": "Jennifer L Carlson"
    },
    {
      "affiliations": [
        "Division of Adolescent/Young Adult Medicine, Boston Children’s Hospital, Boston, Massachusetts, USA",
        "Department of Pediatrics, Harvard Medical School, Boston, Massachusetts, USA"
      ],
      "name": "Josh Borus"
    }
  ],
  "title": "Protecting adolescent confidentiality in the digital age: a global call for adolescent-informed electronic health records",
  "uid": "f1e477f7-c0f8-5ce8-9655-588075fe325e"
}