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"Patient confidentiality"

About: Perth Children's Hospital

(as a parent/guardian),

My child has a particular illness. Over the past years at clinic appointments and annual review, a researcher has asked us to participate in different types of programs while we have been attending for procedures or between seeing specialists.

This has felt invasive, uncomfortable, inappropriate and more recently - ambushed - because you are approached in an environment which already has multiple stressors.  In one case, I felt under pressure to sign the form there and then rather than go away and consider all the factors, and the person stayed in the room until I had finished. This did not feel fair.

My partner once felt ambushed as a researcher was waiting in another area for my child to arrive - this was unexpected and added another layer of stress to the day.

My first concern is about confidentiality and the ethics of sharing details of my child's appointment with researchers without parent consent.

My second concern is about being approached without warning, and feeling under pressure to understand the details of the research, and ultimately agree to participate.

I feel a better way would be for the clinic to speak to parents to ask if they would like to speak with a researcher about xyz. They can then be better able to say yes/no and better prepared to consent. This may make recruitment more challenging, however, it respects patient confidentiality, values a parent's right to participate or not participate in research, and does not unexpectedly or unnecessarily add stress to the appointment/procedure.

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Responses

Response from Katie McKenzie, Executive Lead Mental Health, Child and Adolescent Mental Health Service, Child and Adolescent Health Service 4 years ago
Katie McKenzie
Executive Lead Mental Health, Child and Adolescent Mental Health Service,
Child and Adolescent Health Service
Submitted on 25/10/2019 at 7:08 PM
Published on Care Opinion on 28/10/2019 at 9:47 AM


picture of Katie McKenzie

Dear avocetxm77,

Thank you for telling your story on Patient Opinion. Your feedback is important to us at Perth Children’s Hospital. I apologise that you have felt uncomfortable and pressured to participate in research while your child is having treatment. This is not acceptable and certainly not in line with the Child and Adolescent Health Service values.

There is a current research project that is seeking input from families to find the best way to approach them to take part in research at Perth Children’s Hospital. Your comments have been fed back to the team working on this project.

We can assure you that all research projects involving patients follow strict ethics processes and there are requirements for clinical and research staff to follow in relation to patient and family confidentiality and consent. If these processes have not be followed, we would like to investigate in more detail. If you would be willing to provide more information please contact Child and Family Engagement Service at cahsfeedback@health.wa.gov.au.

Kind regards,

Katie McKenzie

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