Confidentiality

Question 1

Confidentiality is based on the need for:

x5

Answer 1

Trust
Recognition of power imbalance
Patient life outside a medical context
Impact on third parties
Autonomy - patient owns the information but lends it to the doctor

Question 2

7 times when confidentiality may be breached

Answer 2

1. Patients consent
2. Within healthcare teams
3. Best interest of patient
4. Interest of others
5. Legal proceedings
6. Statutory requirement
7. Teaching/auditing purpose

Question 3

3 x deontological reasons for maintaining confidentiality

Answer 3

1. Respect for autonomy
2. Patient in control of their information
3. Irrespective of consquences

Question 4

3 x utalitarian reasons to breach confidentiality

Answer 4

1. Great good for the majority
2. Weigh the expected harm with the benefits
3. In favour of maintaining confidentiality

Question 5

Utilitarian reason for breaching confidentiality

Answer 5

Increases good and minimises harm for patient overall - increased compliance, further treatment and therapeutic relationship

Question 6

Security of records

Answer 6

Legal obligation to ensure that patients records are kept securely
You are responsible for accidental breaches of confidentiality

Question 7

Access to patients records

Answer 7

Patients have the right to see their own records

Therapeutic privilege