When patients reach early adolescence, Columbia paediatricians start directing questions to patients, not their parents, to help build up independence. Over time they see patients without a parent present. Anyone under age 18 needs parental consent for things like vaccines, but teenagers are encouraged to visit doctors alone to develop their own relationships and become comfortable talking about any issue. “We want to empower children to take charge of their health care, understand their own health situation, and manage their medications or disease,”. This is especially true for children who have a chronic condition that will extend into adulthood. Deciding when a child is ready to see an internist or other “adult doctor” is best determined by the patient (and/or family) and the paediatrician.
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