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Confidentiality

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Encyclopedia of Global Bioethics

Abstract

Confidentiality is among the oldest and most widely acknowledged rules of bioethics dating back to Pythagoras and Hippocrates. The rule requires those who possess privileged information not to share it with other people, even if they need it, without the permission of the patient or the confider. The necessity for confidentiality and privacy is justified by respect for autonomy and the right to privacy. Likewise, the concept of autonomy and informed consent influences the understanding and practice of confidentiality as exemplified by the difference in the practice of confidentiality in Western bioethics on one hand and the practice in African and Asian bioethics on the other. Although the obligation of confidentiality is very important, it is not absolute.

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References

  • Beauchamp, T. L., & Childress, J. F. (2013). Principles of biomedical ethics. New York: Oxford University Press.

    Google Scholar 

  • Central Ethics Committee. (1971). British medical journal supplement. Cited by Veatch, R. M. (2012a). The basics of bioethics. Upper Saddle River: Prentice Hall.

    Google Scholar 

  • DeGrazia, D., & Brand-Ballard, J. (Eds.). (2011). Biomedical ethics. New York: McGraw-Hill Higher Education.

    Google Scholar 

  • Erwin, J., & Peters, B. (1999). Treatment issues for HIV+ Africans in London. Social Science & Medicine, 49(11), 1519–1528.

    Article  Google Scholar 

  • Fehrs, L., Foster, L., Fox, V., Fleming, D., McAlister, R., Modesitt, S., & Conrad, R. (1988). Trial of anonymous versus confidential human immunodeficiency virus testing. The Lancet, 332(8607), 379–382.

    Article  Google Scholar 

  • Morse, E. V., Simon, P. M., Coburn, M., Hyslop, N., Greenspan, D., & Balson, P. M. (1991). Determinants of subject compliance within an experimental anti-HIV drug protocol. Social Science & Medicine, 32(10), 1161–1167.

    Article  Google Scholar 

  • O’Flynn, N., Spencer, J., & Jones, R. (1997). Consent and confidentiality in teaching in general practice: survey of patients’ views on presence of students. BMJ, 315(7116), 1142.

    Article  Google Scholar 

  • Petchey, R., Farnsworth, B., & Williams, J. (2000). ‘The last resort would be to go to the GP’. Understanding the perceptions and use of general practitioner services among people with HIV/AIDS. Social Science & Medicine, 50(2), 233–245.

    Article  Google Scholar 

  • Reamer, F. G. (2012). Confidentiality, general issues of. In R. F. Chadwick (Ed.), The encyclopedia of applied ethics (2nd ed., Vol. 1, p. 553). London: Academic.

    Chapter  Google Scholar 

  • Rosers, W., & Braunack-Mayer, A. (2004). Practical ethics for general practice. Oxford/New York: Oxford University Press. [Oxford Medical Publications]

    Google Scholar 

  • Sankars, P., Moral, S., Merz, J. F., & Jones, N. L. (2003). Patient perspectives on medical confidentiality: A review of the literature. Journal of General Internal Medicine, 18(8), 659–669.

    Article  Google Scholar 

  • Shaw, M., Tomlinson, D., & Higginson, I. (1996). Survey of HIV patients’ views on confidentiality and non-discrimination policies in general practice. British Medical Journal, 312(7044), 1463–1464.

    Article  Google Scholar 

  • Veatch, R. M. (2012a). The basics of bioethics. Upper Saddle River: Prentice Hall.

    Google Scholar 

  • Veatch, R. M. (2012b). Hippocratic, religious, and secular medical ethics: The points of conflict. Washington: Georgetown University Press.

    Google Scholar 

Further Readings

  • Osuji, P. I. (2014). African traditional medicine: Autonomy and informed consent (Vol. 3). Cham: Springer.

    Book  Google Scholar 

  • Siegler, M. (1999). Confidentiality in medicine: A decrepit concept. In Bioethics an antology (1st ed., pp. 490–492). Oxford, UK: Blackwell.

    Google Scholar 

  • Slowther, A., & Kleinman, I. (2008). Confidentiality. In P. A. Singer & A. M. Viens (Eds.), The Cambridge textbook of bioethics (pp. 43–48). Cambridge: Cambridge University Press.

    Chapter  Google Scholar 

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Correspondence to Peter Ikechukwu Osuji .

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© 2014 Springer Science+Business Media Dordrecht

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Osuji, P.I. (2014). Confidentiality. In: ten Have, H. (eds) Encyclopedia of Global Bioethics. Springer, Cham. https://doi.org/10.1007/978-3-319-05544-2_115-1

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  • DOI: https://doi.org/10.1007/978-3-319-05544-2_115-1

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  • Online ISBN: 978-3-319-05544-2

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