the need to disclose patient information to protect a third party. Confidentiality is defined as “the ethical principle that requires nondisclosure of private or secret information with which one is entrusted” (Burkhardt & Nathaniel, 2012, p. 526). The court’s decision in the Tarasoff case caused controversy throughout the mental health profession that is still debated today. Confidentiality is the cornerstone on which the therapist-patient relationship is based. Justice Clark’s dissent emphasized the importance of confidentiality: “Until today’s majority opinion, both legal and medical authorities have agreed that confidentiality is essential to effectively treat the mentally ill and that imposing a duty on doctors to disclose patient threats to potential victims would greatly impair treatment” (Tarasoff v. Regents of University of California, 1976, p. 20).
The Health and Social Care Act 2012 has stated that responsibility to consult, requires health professionals to disclose. This is at odds with other moves to support an individual's involvement in decisions that affect them. Moreover, a responsibility to consult can be shown to be a procedural aspect of the fundamental right to respect for private and family life. If a service user discloses an allegation it is important that the service provider assures the person that you are taking them seriously, the right to dignity and respect involves recognising the value of people as individuals and the specific
Moral decisions are not always easy decisions to make. However, necessary means are often provided to fulfill these difficult decisions. In health care, there are certain ethical principles or guidelines that help us make the appropriate choice when it comes to giving the best care to a patient, and they help justify the purpose for providing the best care to a patient. These principles are relevant in our health care system today in order for patient care to be as appropriate and as effective as possible.
A physician has an unenviable position. He is closest to man approaching a god-like stature and when that god stumbles, the consequences can be disastrous. This is even more so in the field of psychiatry where the fact that mental illness exists is not disputed, but the diagnoses and treatment is often suspect. However, despite the demise of 'doctor knows best ', we still need to trust a psychiatrist since diagnosis is based on a patient 's expressed thoughts and overt behaviours rather than solely on biological phenomena. This requires not only that the patient trust the doctor, but even before that, the doctor appreciates and understands the context of those behaviours; behaviours that are influenced by the patient 's environment.
(Hogue & Prudhomme, 2012) Another point is documentation on a patient. There is a saying in the medical field if you didn’t document it didn’t happen, make sure as a case manager, everything you do is fully documented in the patient record. Develop habits that are good, you always want to document on a client when everything is fresh. It proves to the case manager’s credibility.
Few things need to consider when telling to patients and patients family with regards to their prognosis like patients reactions or emotions and even financial resource. Health care professional are expected to give the detailed information to their client whether it is desirable or undesirable news. But on the other hand, they need consider whether telling truth would help or make situations more worst. Ethical dilemma among health care professional arises, either telling the truth or withholding the truth would benefit the patient.
Autonomy is when patients have the right to make decisions about their medical care without a health and social care professional trying to influence the decision. (Medicine net) For example, gaining consent or informal agreement of the patient before any treatment takes place. The principle may at times cause problems when patients exercise their autonomy by refusing life-saving treatments. Another barrier to patient autonomy is if one is being forced into a decision.
This is the method that the nurse practitioners can use to prevent this to be happened. The issue of patient quality of care and safety can impact a patient life the health care providers have to consider how important it is to assure
Such information should be available only to the physician of record and other health care and insurance personnel as necessary. As of 2003, patient confidentiality was protected by federal statute.” http://www.surgeryencyclopedia.com/Pa-St/Patient-Confidentiality.html#ixzz3MHzMg7ra Confidentiality, the bond between health and social care staff and service users must be entrustment. Health and social care professionals have to maintain confidentiality for the safety and care of the service users for example a client that has a sexual disease will want the information kept private. Every professional must keep private information to himself or herself, if they tell anyone they will be breaking the confidentiality act as well as the data protection act.
Patients have a right to privacy and non-interference. The healthcare professionals are obligated to give needed information to patients and relate the risks, and the benefits of a test/treatment. The detail information given will allow the patient to make the best decision on what he/she chooses to do. Hiding information about a diagnosis or not revealing the potential complications because a patient may refuse care seems unethical. Patients have the right to know about their health to make informed
You are correct Vaschar, the HIPAA privacy rule does play a big part in the role of keeping patient information secure. In the instance when a patients information is given to a fellow medical provider for continuity of care to establish a consult appointment is not an issue, but should that patients medical records need to be released between the medical provider and the other provider of care a medical records release authorization should be signed by either the patient or the patients representative. In the case where a medical provider wishes to distribute a product for another company it can do so without any HIPAA violation just as long as it does not pass on any patient demographic or patient care information to the company. If
Private rule permits the access of the important information while keeping top security and privacy of treatment details of the patient. Security rule is also a rule found in HIPAA whereby it has administrative and technical guards which are responsible in ensuring that there is confidentiality and integrity of the information which is stored electronically. Security rule also requires physical safeguarding to offer
Data use agreements and connections between HIE organizations are also a concern with health information exchange. “The types of healthcare partners that are needed is a challenge when determining the trading area needed for a viable HIE” (PHII, 2005). Although there are challenges, there are opportunities with implementing a health information exchange system. One opportunity is HIE can improve reporting to public health and in return improve the health of the community.
The Health Insurance and Portability and Accountability Act ( HIPAA) of 1996 provides security provisions and data privacy for protecting a patient’s medical information. HIPAA has guidelines to ensure that a patient’s confidentiality is maintained while allowing the communication of a patient’s medical records between certain bodies or people or officials. Officials that a patient’s medical records can be shared with are other health care providers, health plans, business associates, and health care clearinghouses. HIPAA protects all “ individually identifiable health information”. There is a specific protocol to follow when sharing a patient’s medical information.
All professions follow a code of ethics. A code of ethics provides legal and ethical guidance to members of a profession. The field of ethics describes how we must treat each other, how we must act, what we must do and why. As professionals, we identify ethical issues that tend to arise within our chosen profession. To consider ethical issues, we need some level of guidance, which is the code of ethics.