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Week 1 Nota Tambahan - Confidentiality and Access To Medical Information
Week 1 Nota Tambahan - Confidentiality and Access To Medical Information
Week 1 Nota Tambahan - Confidentiality and Access To Medical Information
INTRODUCTION:THE DILEMMA
Patient does not want the information to be known to others. Patient feels under pressure or embarrassed with their illness as it may be detrimental on their current employment or insurance cover Faced with suspected cases of rape, abuse or even HIV/AIDS Are these covered by the principle of confidentiality?
DEFINITION OF CONFIDENTIALITY
The legal or ethical duty to keep private information secure and secret from others. Purpose: respects a patients autonomy, acknowledges patients privacy, protects doctors integrity. Therefore, communication between the doctor-patient will be honest & straightforward. Patients feel free to disclose important information
HIPPOCRATIC OATH
whatever things I see or hear concerning the life of men, in my attendance on the sick or even apart there from, which ought not be noised abroad, I will keep silence thereon, counting such things to be as sacred secrets
DECLARATION OF GENEVA
I will respect the secrets which are confided in me, even if the patient has died Therefore, confidentiality in a doctor-patient relationship is an ethical obligation and part of ones human rights. Everyone has the right to respect as a human being, to self determination, to physical and mental integrity and to privacy
CONT
e)patients have the right to require clarification, updating of personal and medical data concerning them which are not relevant to the diagnosis, treatment and care. f) there can be no intrusion into a patients private and family life g)medical interventions may only be carried out when there is proper respect shown for the individuals privacy h) patients have the right to expect physical facilities which ensure privacy, esp when care providers are offering personal care, carrying out examinations or treatment
MALAYSIAN MEDICAL CODE OF PROFESSIONAL CONDUCT Paragraph 2.22-Abuse of confidence a) practitioner may not improperly disclose information which he obtains in confidence from or about a patient
Disclosure of a HIV status is allowed provided that these 2 conditions are satisfied. 1) there is real risk to the people to be informed 2) disclosure is the only practical way to protect them Doctors are advised to explain the nature and implication of such disease If patient refuse to allow others to be informed, disclosure is allowed as long as there is a foreseeable risk of death or serious harm. The patient must also be told about such disclosure of information