Lako C J, Huygen F J, Lindenthal J J, Persoon J M
Department of Public Health, University of Wageningen, The Netherlands.
Fam Pract. 1990 Mar;7(1):34-8. doi: 10.1093/fampra/7.1.34.
This paper describes the results of a study of the handling of confidentiality by general practitioners. A sample of 272 general practitioners in the eastern part of the Netherlands was interviewed. The general practitioners were presented with 10 cases involving confidentiality and were asked what course of action they would pursue. Twenty-eight per cent of the general practitioners would never disclose information to others without the patient's consent, while 14% would disclose information to other physicians, members of non-medical professions and relatives. The largest proportion (38%) would disclose information only to other physicians. General practitioners were less likely to divulge information if they were: younger, female or practising in group practices. In particular, general practitioners who involved patients in decision making were less likely to disclose information to third parties. A plea is made for more education about confidentiality in the medical curriculum.
本文描述了一项关于全科医生保密处理情况的研究结果。对荷兰东部的272名全科医生进行了抽样访谈。向这些全科医生展示了10个涉及保密的案例，并询问他们会采取何种行动。28%的全科医生在未经患者同意的情况下绝不会向他人透露信息，而14%的全科医生会向其他医生、非医疗行业人员和亲属透露信息。最大比例（38%）的全科医生只会向其他医生透露信息。如果全科医生年龄较小、为女性或在团体诊所执业，他们泄露信息的可能性较小。特别是，让患者参与决策的全科医生向第三方泄露信息的可能性较小。有人呼吁在医学课程中加强关于保密的教育。
