Mermelstein Hindi T, Wallack Joel J
Department of Psychiatry, North Shore University Hospital, North Shore LIJ Health System, Mount Sinai School of Medicine, Great Neck, NY 11021, USA.
Psychosomatics. 2008 Mar-Apr;49(2):97-103. doi: 10.1176/appi.psy.49.2.97.
This review, a work project of The Standards and Ethics Committee of The Academy of Psychosomatic Medicine, examines the challenges posed for consultation-liaison psychiatrists as they struggle to maintain the trust between patient and physician while balancing compliance with the increasing complexities of confidentiality with the provision of enough information to our medical colleagues for good clinical care. The authors discuss the moral, legal, and ethical issues that arise from the many-layered state and federal regulations, especially the impact of the Health Information Portability and Accountability Act (HIPPA) and make recommendations for practical application in the clinical setting.
本综述是身心医学学会标准与伦理委员会的一项工作项目，探讨了会诊联络精神科医生所面临的挑战。他们在努力维持医患之间信任的同时，既要遵守日益复杂的保密规定，又要向医疗同事提供足够信息以确保良好的临床护理。作者讨论了由多层次的州和联邦法规引发的道德、法律和伦理问题，特别是《健康保险流通与责任法案》（HIPPA）的影响，并提出了在临床环境中实际应用的建议。
