Abstract:
:In the UK, the General Medical Council's new guidance on confidentiality restates the professional duty for doctors to regard personal information revealed to them as confidential. Such information can be shared only with the patient's explicit consent--the exceptions to this are narrowly defined. We believe the guidance does not adequately address the reality of confidentiality in modern practice, particularly in relation to patients with dementia. It seems to be naïve or lacking in the subtlety required in complex clinical situations, perhaps because its legalistic, professional ethics have a philosophically limited view of confidentiality. A more sophisticated philosophical picture regards people as embedded in a shared, worldly context, in which relationships and mutual engagement become crucial. Attending to the reality of cognitively impaired people emphasizes this context and suggests that confidentiality cannot be an overriding principle--it is best regarded as a token of trust.
journal_name
Age Ageingjournal_title
Age and ageingauthors
Hughes JC,Louw SJdoi
10.1093/ageing/31.2.147subject
Has Abstractpub_date
2002-03-01 00:00:00pages
147-50issue
2eissn
0002-0729issn
1468-2834journal_volume
31pub_type
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