Confidentiality is an important part of adolescent health care, providing a safe arena for young people to address sensitive health concerns and develop independent relationships with their providers. State and federal laws support a range of adolescent confidentiality protections. However, the full implementation of the 21st Century Cures Act, with the release of all medical records to patients and caregivers, may endanger this expectation of privacy. This policy brief reviews implications of the open notes requirement of the Cures Act, suggests strategies to improve care for adolescent patients, and recommends advocacy to improve the 2020 Final Rule implementation.

保密是青少年医疗保健的重要组成部分，为年轻人解决敏感的健康问题并与其提供者建立独立的关系提供了一个安全的场所。州和联邦法律支持一系列青少年保密保护。然而，随着《21 世纪治愈法案》的全面实施，向患者和护理人员公开所有医疗记录，可能会危及这种对隐私的期望。本政策简报回顾了《治愈法案》公开笔记要求的影响，提出了改善青少年患者护理的策略，并建议倡导改进 2020 年最终规则的实施。