Ghali A Y, Lindenthal J J, Thomas C S
New Jersey Medical School.
Med Law. 1991;10(6):549-54.
Patient confidentiality is an important issue for treating clinician regardless of the cultural background. Though cultural and religious issues may have an impact on the confidentiality standards. This article discusses the confidentiality standards in Egypt citing the laws and ethical codes governing them. This is followed by a research study in which a questionnaire containing ten vignettes representing different common themes confronted by the practicing clinician was completed by forty-one Egyptian psychiatrists. They checked off categories representing alternatives they might choose dealing with the themes. Each respondent received a score. The scores were compared with those of American and Israeli psychiatrists who participated in a similar study. There were no statistically significant differences though Egyptian and Israeli psychiatrists appear to be somewhat more inclined to break confidentiality. However, significant differences were found to exist for some of the vignettes between the three groups.
无论文化背景如何，患者保密对治疗临床医生来说都是一个重要问题。尽管文化和宗教问题可能会对保密标准产生影响。本文以埃及的法律和伦理规范为例，探讨了埃及的保密标准。接下来是一项研究，41名埃及精神科医生完成了一份包含十个 vignette 的问卷，这些 vignette 代表了执业临床医生面临的不同常见主题。他们勾选了代表他们处理这些主题可能选择的替代方案的类别。每个受访者都得到一个分数。这些分数与参与类似研究的美国和以色列精神科医生的分数进行了比较。尽管埃及和以色列精神科医生似乎更倾向于违反保密规定，但在统计学上没有显著差异。然而，发现三组之间在一些 vignette 上存在显著差异。
