扬州大学：《医学伦理学》课程教学课件（PPT讲稿）Chapter 4 Confidentiality

Chapter 4ConfidentialityP29

Chapter 4 Confidentiality P29

theHippocraticOathWhatI may see orhear inthe course ofthe treatment or even outside of thetreatment in regard to the life of men,which on noaccountone mustspreadabroad,I will keep to myself,holdingsuchthingsshamefultobe spokenabout

“What I may see or hear in the course of the treatment or even outside of the treatment in regard to the life of men, which on no account one must spread abroad, I will keep to myself, holding such things shameful to be spoken about.” the Hippocratic Oath

Medical information cannot be passed toanyone without the direct consent of thepatient.☆ Confidentiality also includes keeping apatient's medical information privateeven from his friends and family unlessthe patient expressly say it is okay torelease the information

 Medical information cannot be passed to anyone without the direct consent of the patient.  Confidentiality also includes keeping a patient's medical information private even from his friends and family unless the patient expressly say it is okay to release the information

CASE3.)While ata dinner withhis family,aphysician notices oneofhis colleagues sitting at a neighboring table.After exchangingpleasantries, he says,"Somebody just told me that you aretaking careofmydentist,Dr.Smith.Herreceptionistcalledandcancelledmyappointment last week, but did notgive areason.It must behealth related if she is seeing you.Hopefully,youcan help her."Which of the following is the most appropriateresponsebythephysician'scolleague?

CASE

A. "No, she is not my patient. However, I did hear that she hastakensometimeofffromwork."B. "She is my patient, but I am unable to discuss her treatmentduetopatientconfidentiality."C."Yes, I've been seeing her, but let's keep that informationconfidential."D."Yes, she seems tobe gettingbetter each week and mayreturntoworksoon."E."I cannot verify whether she is or is not my patient

How to Maintain PatientConfidentiality0:173:43How to Maintain Patient Confidentiality

How to Maintain Patient Confidentiality

HIPAALegislationHIPAAHealthAOFTDENTIALBortabilityAccountabilityActProtected HealthInformation(PHI)

HIPAA

PatientConfidentiality(1Patient Confidentiality

CASEYou are a psychiatrist in session with apatient who tells you he thinks his bossat work is persecuting him. The patienthas had mild schizophrenia. The patientasks you if you can keep a secret andthen tells you that he is planning to killhis boss “when the time is right." Yousay," Of course, everything you tell meduring the session will always beconfidential

You are a psychiatrist in session with a patient who tells you he thinks his boss at work is persecuting him. The patient has had mild schizophrenia. The patient asks you if you can keep a secret and then tells you that he is planning to kill his boss “when the time is right.” You say,“ Of course, everything you tell me during the session will always be confidential.” CASE

CASEWhat should you do?a. Keep the patient's session confidential butmake attempts to discourage the patientfrom his plan.b. Inform your medical director and let himhandle it.c. Inform law enforcement agencies of thethreat to the patient's boss.d. Inform the patient's boss that he is indanger.e. Inform both the patient's boss as well as lawenforcement of the threat

What should you do? a. Keep the patient's session confidential but make attempts to discourage the patient from his plan. b. Inform your medical director and let him handle it. c. Inform law enforcement agencies of the threat to the patient's boss. d. Inform the patient's boss that he is in danger. e. Inform both the patient's boss as well as law enforcement of the threat. CASE