Lako C J, Lindenthal J J
Department of Public Health, University of Wageningen, The Netherlands.
Soc Sci Med. 1991;32(2):153-7. doi: 10.1016/0277-9536(91)90055-h.
This paper describes the results of two studies in New Jersey and the eastern part of the Netherlands into the management of confidentiality among physicians in general medical practice. The physicians were presented with vignettes about confidentiality and were asked what course of action they would pursue. The results suggest that the physicians in New Jersey are less willing to disclose information without the patient's consent to insurance physicians or occupational health physicians than their Dutch colleagues. However, in more conflicting situations the American physicians tend to favor more disclosure of information than their Dutch counterparts. Explanations of these differences include aspects of the legal system in New Jersey and the Netherlands.
本文描述了在新泽西州和荷兰东部进行的两项关于普通医疗实践中医师保密管理的研究结果。研究向医生们展示了关于保密的案例，并询问他们会采取何种行动。结果表明，与荷兰同行相比，新泽西州的医生在未经患者同意的情况下，不太愿意向保险医生或职业健康医生披露信息。然而，在更具冲突性的情况下，美国医生比荷兰同行更倾向于披露更多信息。这些差异的解释包括新泽西州和荷兰法律体系的各个方面。
