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Báo cáo khoa học: "Ethics roundtable debate: Is a physician–patient confidentiality relationship subservient to a greater good"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: Ethics roundtable debate: Is a physician–patient confidentiality relationship subservient to a greater good? | Available online http ccforum.eom content 9 3 233 Commentary Ethics roundtable debate Is a physician-patient confidentiality relationship subservient to a greater good Chris Cotton1 David W Crippen2 Farhad Kapadia3 Arthur Morgan4 Holt N Murray5 and Gil Ross6 11ntensive Care Paramedic with the South Australian Ambulance Service Chairman of the South Australian Branch of the Australian College of Ambulance Professionals and Associate Lecturer with Flinders University of South Australia Adelaide South Australia 2Medical Director Neurovascular ICU Department of Critical Care Medicine University of Pittsburgh Medical Center Pittsburgh Philadelphia USA 3Consultant Physician Intensivist Hinduja National Hospital Bombay India 4Anaesthesiologist Private Practice Johannesburg South Africa 5Chief Critical Care Fellow Department of Critical Care Medicine University of Pittsburgh Medical Center Pittsburgh Philadelphia USA 6Attorney at Law Sussman Selig Ross Chicago Illinois USA Corresponding author David W Crippen crippen@pitt.edu Published online 25 April 2005 This article is online at http ccforum.com content 9 3 233 2005 BioMed Central Ltd Critical Care 2005 9 233-237 DOI 10.1186 cc3527 Abstract Is a health care provider s most proximal obligation to individuals or society as a whole Our International panel of critical care providers grapple over the issue of whether patient-physician confidentiality exists as an open ended ideal it should be subservient to a greater good. Introduction Traditionally the physician-patient bond is considered as sacrosanct as that between parishioner and priest. The patient has an expectation of absolute trust and confidentiality. Were it not so failures to disclose sensitive history could result in misdiagnosis and great harm to the patient. However this bond is muddied somewhat when potential for harm to other innocents rests on it. In this case a patient has disclosed an irresponsible act. As a result others may be at risk for harm if the .