X hits on this document

14 views

0 shares

0 downloads

0 comments

2 / 6

2.

Individually defined good

3.

Good as a person/autonomous agent

4.

Ultimate good

iv.

Concerns of paternalism

1.

Does it compete with the patient’s right for autonomy?

d.

Justice

i.

Distributive Justice

1.

Allocation of scarce resources

2.

Determining who pays

3.

Concerns about bedside rationing

4.

Pitfall of primum non expendere?

II.

Privacy and Confidentiality

a.

Privacy

i.

Basic human right

ii.

Inaccessibility or restricted access to a person or information about him/her

iii.

Granting access is an exercise of the right, not a waiver

b.

Confidentiality

i.

Obligation of Dr. to protect information about a person obtained in confidence

ii.

Use personal info for the patient’s medical benefit only

iii.

Promise within the context of a trusting relationship that info will not be divulged without the patient’s permission

c.

Harms from Breaching Confidentiality

i.

Treats to employability, insurance, housing

ii.

Damaging patient or family’s reputation

iii.

Disruption of personal relationships

iv.

Mistrust of clinicians and medical establishment

d.

Limits on Protecting Privacy: Exceptions to the Rule

i.

Needs of Patient

1.

Emergency situation when more info is needed to assist in making treatment decisions

2.

Ancillary staff needing access for process of care (billing etc)—concept is questionable, do 75+ employees really need access to your medical info?

3.

Informing surrogate decision makers

ii.

Needs of Others

1.

Public Health

a.

Quarantining from leprosy to SARS

b.

Tracking/prevention of STDs

c.

Responding to bioterrorism

2.

Risk to identifiable third part

a.

Requirements

i.

Identifiable third party

ii.

Potential for serious harm

Document info
Document views14
Page views14
Page last viewedFri Dec 09 18:57:26 UTC 2016
Pages6
Paragraphs338
Words1119

Comments