Jethwa Shilpa, Bryant Pauline, Singh Surinder, Jones Melvyn, Berlin Anita, Rosenthal Joe
Research Department of Primary Care and Population Health, University College London, Medical School, London, United Kingdom.
Fam Med. 2009 May;41(5):327-31.
Physicians are sometimes poor at observing patient confidentiality. Medical students have access to patients and their medical records, but there is little known about how well students respect patients' confidentiality. Our objective was to study how medical students deal with confidential patient information.
Qualitative research methods (focus groups, semi-structured interviews, and direct peer observation of student activity) were used to explore the approach of medical students to patient confidentiality in a British medical school.
We interviewed 32 students, held focus groups involving 24 students, and undertook direct observation of student activity. The main themes derived from the data included the context within which students practice, variation in students' attitude and behavior toward patient confidentiality, and the dissonance between confidentiality theory and practice.
While many students practiced in a professional manner, several reported markedly suboptimal performance in themselves or others. These behaviors appear to be driven by students' own professionalism and behavior learned from senior colleagues. While new technologies pose some particular threats to confidentiality, paper records seem just as vulnerable.
医生有时在遵守患者保密规定方面做得很差。医学生能够接触到患者及其病历，但对于学生在多大程度上尊重患者保密权却知之甚少。我们的目的是研究医学生如何处理患者的保密信息。
采用定性研究方法（焦点小组、半结构化访谈以及对学生活动的直接同伴观察）来探究英国一所医学院的医学生对待患者保密问题的方式。
我们采访了32名学生，组织了有24名学生参与的焦点小组，并对学生活动进行了直接观察。从数据中得出的主要主题包括学生实践的背景、学生对患者保密问题的态度和行为差异，以及保密理论与实践之间的不一致。
虽然许多学生的实践方式是专业的，但也有一些学生报告称自己或他人的表现明显不尽人意。这些行为似乎是由学生自身的专业素养以及从资深同事那里学到的行为所驱动的。虽然新技术对保密构成了一些特殊威胁，但纸质记录似乎同样容易泄露信息。
