Categorías: Todo - trust - disclosure - confidentiality - protection

por Sarah Maybin hace 14 años

225

Group 4 Project Medicine and the Law

The intersection of medicine and law presents a complex landscape, particularly regarding the issue of patient confidentiality. Maintaining confidentiality is seen as crucial for fostering trust between patients and healthcare providers, which in turn encourages honesty and results in better medical care.

Group 4 Project Medicine and the Law

Group 4 Project: Medicine and the Law

The relaxation of the rules on confidentiality- Is it justifiable ?

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Children
Capacity

Mental Health Act 2007

Age of Legal Capacity (Scotland) Act 1991

s.2 (4)

s.1(a)

Abortions

R. (on applidcation of Axon) v. Secretary of Health 2006

Moth sought review of 2004 document, wanted disclosure

Women under 16 can seek an abortion without parental consent

If they meet Fraser guidelines

Contraception

2004 Department of Health document that gives guidance on giving advice and treatment to under 16s

Gillick v West Norfol Area Health Authority (1985)

Lord Fraser Guidelines

Child abuse

Confidence can be breached if there is evidence patient is abusing a child

Subtopic

M and N (Minors), Re

Disclosure to sexual partner

Position if person at risk is also a patient of the Dr. (Special relationship)

Australia (PD v Harvey and Chen) Disclosing as last resort

US and Canada- Statutory duty to inform person at risk

No decison in the UK

General Medical Council and Institute of Medical Ethics (Guidance)

Disclosure of infected health worker( X v Y and H v Associated Newspapers Limited)
Heath Authority Duty to Report (Aids Control Act 1987)
Confidentiality and the deceased
Guidance from Genreral Medical Council
General Duty continues after death

Exceptions to Confidence

Statutory
Public Interest
Press Freedom
Medical Research
Preventing or detecting crime
Family (Child Protection)
HIV
Consent

Arguments in favour/against confidentiality?

Against
May protect others in society
May be better for the protection of the patient
favour
Builds up trust
Aids an effective health care system
Best medical care can be given because patient will be honest

Duty of Confidence

Hippocratic Oath
Not a single statute or common law body of laws governing confidentiality
Patients may be unwilling to disclose
Common Law Duty