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Patient perspectives of medical confidentiality: a review of the literature.

Abstract：

OBJECTIVE:To lay the groundwork for a better understanding of patient views on medical confidentiality. DESIGN:Studies were found by searching medline, bioethicsline, and selected bibliographies. Articles concerning physician perspectives or implications of legal and administrative regulations were excluded. Only peer-reviewed journal articles reporting original research on patients' confidentiality views and conduct were included. MAIN RESULTS:Many patients are unaware of or misunderstand their legal or ethical right to medical confidentiality protections, which leads them to both over- and underestimate confidentiality protections. The possibility that medical information might be revealed, intentionally or not, to acquaintances in a clinic or other social community troubles patients as much as information release to insurers or employers. A significant minority of patients distrust confidentiality protections, leading some to report that they delay or forgo medical care. If doubtful that confidentiality will be upheld, patients will act independently to protect information. CONCLUSIONS:Our review found a wider variety of understandings and beliefs about medical confidentiality among patients than are often indicated in the writings of practitioners or legal experts. As medical confidentiality regulations evolve, these differences need to be recognized and accounted for in interactions between practitioners and patients.

journal_name

J Gen Intern Med

journal_title

Journal of general internal medicine

authors

Sankar P,Mora S,Merz JF,Jones NL

doi

10.1046/j.1525-1497.2003.20823.x

subject

Has Abstract

pub_date

2003-08-01 00:00:00

pages

659-69

issue

8

eissn

0884-8734

issn

1525-1497

pii

jgi20823

journal_volume

18

pub_type

杂志文章,评审

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