Breaching confidentiality to protect the public: Evolving standards of medical confidentiality for military detainees
Graduate studies at Western
American Journal of Bioethics 7 (8):1 – 5 (2007)
|Abstract||Confidentiality is a core value in medicine and public health yet, like other core values, it is not absolute. Medical ethics has typically allowed for breaches of confidentiality when there is a credible threat of significant harm to an identifiable third party. Medical ethics has been less explicit in spelling out criteria for allowing breaches of confidentiality to protect populations, instead tending to defer these decisions to the law. But recently, issues in military detention settings have raised the profile of decisions to breach medical confidentiality in efforts to protect the broader population. National and international ethics documents say little about the confidentiality of detainee medical records. But initial decisions to use detainee medical records to help craft coercive interrogations led to widespread condemnation, and might have contributed to detainee health problems, such as a large number of suicide attempts several of which have been successful. More recent military guidance seems to reflect lessons learned from these problems and does more to protect detainee records. For the public health system, this experience is a reminder of the importance of confidentiality in creating trustworthy, and effective, means to protect the public's health.|
|Keywords||No keywords specified (fix it)|
|Categories||categorize this paper)|
|Through your library||Configure|
Similar books and articles
John Lowman & Ted Palys (2007). Strict Confidentiality: An Alternative to Pre's “Limited Confidentiality” Doctrine. [REVIEW] Journal of Academic Ethics 5 (2-4):163-177.
M. A. Crook (2013). The Risks of Absolute Medical Confidentiality. Science and Engineering Ethics 19 (1):107-122.
Beverly Woodward (2001). Confidentiality, Consent and Autonomy in the Physician-Patient Relationship. Health Care Analysis 9 (3):337-351.
J. M. Jacob (1982). Changing Practice on Confidentiality: A Cause for Concern. Commentary 1: Confidentiality: The Dangers of Anything Weaker Than the Medical Ethic. Journal of Medical Ethics 8 (1):18-21.
M. Guedj (2006). Do French Lay People and Health Professionals Find It Acceptable to Breach Confidentiality to Protect a Patient's Wife From a Sexually Transmitted Disease? Journal of Medical Ethics 32 (7):414-419.
Stavroula A. Papadodima, Chara A. Spiliopoulou & Emmanouil I. Sakelliadis (2008). Medical Confidentiality: Legal and Ethical Aspects in Greece. Bioethics 22 (7):397-405.
Paul Ndebele, Joseph Mfutso-Bengo & Francis Masiye (2008). Hiv/Aids Reduces the Relevance of the Principle of Individual Medical Confidentiality Among the Bantu People of Southern Africa. Theoretical Medicine and Bioethics 29 (5):331-340.
Ke Yu (2008). Confidentiality Revisited. Journal of Academic Ethics 6 (2):161-172.
R. D. Strous (2009). To Protect or to Publish: Confidentiality and the Fate of the Mentally Ill Victims of Nazi Euthanasia. Journal of Medical Ethics 35 (6):361-364.
Kenneth Kipnis (2006). A Defense of Unqualified Medical Confidentiality. American Journal of Bioethics 6 (2):7 – 18.
Added to index2009-01-28
Total downloads12 ( #101,269 of 739,396 )
Recent downloads (6 months)1 ( #61,680 of 739,396 )
How can I increase my downloads?