Term
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Definition
- an essential part of autonomy. Not respecting a patient’s autonomy is to disrespect the patient.
- implied promise of confidentiality in fiduciary relationship - should be assumed by patient |
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Term
| Consequentialist Confidentiality |
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Definition
- a necessary condition for the medical professional to do his/her work. The patient must be comfortable revealing potentially sensitive information in order for the proper course of treatment be undertaken.
- fiduciary relationship would be compromised without total trust |
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Term
| Special and General Duties |
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Definition
Special = apply to individuals who occupy certain roles
General = apply to everyone
Confidentiality is a special duty that applies to dentists |
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Term
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Definition
- that which is legal may not be ethical and vice versa
- professional obligations are not the same as legal obligations
- professional obligations require dentists to maintain confidentiality, but confidentiality may be given up required by law |
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Term
| Kipnis View of Confidentiality |
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Definition
- all information shared with a practitioner is completely confidential - it cannot be shared unless the patient signs a consent form allowing the practioner to do so
Kipnis argues that confidentiality is meaningful only if it does not:
a) compromise any patient’s claim to absolute privacy;
b) balance competing claims to acquire identifiable patient data; and
c) promise something that a physician ultimately fails to deliver (strict confidentiality). |
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Term
| Hodge View of Confidentiality |
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Definition
- patients regularly choose access to health services over personal confidentiality
- information must be shared for the health care system to work, yet any sharing is a breach of unqualified confidentiality
- assumption of absolute confidentiality implies that these data are more secure than they really are, and that patients themselves are not bound to protect that health and safety of others
- Pure Medical Confidentiality: patient's latent health status is only truly confidential prior to disclosing it to a physician
- we trade privacy for healthcare |
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