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精神病学中的保密性:患者视角的研究

Confidentiality in psychiatry: a study of the patient's view.

作者信息

Schmid D, Appelbaum P S, Roth L H, Lidz C

出版信息

Hosp Community Psychiatry. 1983 Apr;34(4):353-5. doi: 10.1176/ps.34.4.353.

DOI:10.1176/ps.34.4.353
PMID:6840723
Abstract

The views of patients on the degree of confidentiality that is necessary for effective psychiatric care have not been empirically investigated, despite their potential importance to the debate. This study examines the views of 30 psychiatric inpatients on issues related to confidentiality. Patients were found to value confidentiality highly and to be concerned about the possibility of unauthorized disclosures but to have little knowledge of their legal rights or recourses should breaches of confidentiality occur. The data support contentions about the importance of confidentiality and suggest the need for further patient education.

摘要

尽管患者对有效精神科护理所需保密程度的看法对相关辩论可能具有重要意义,但尚未进行实证研究。本研究调查了30名精神科住院患者对保密相关问题的看法。结果发现,患者高度重视保密,担心未经授权的信息披露,但对自身的合法权利以及在保密遭到侵犯时的求助途径知之甚少。这些数据支持了关于保密重要性的论点,并表明有必要对患者进行进一步教育。

相似文献

1
Confidentiality in psychiatry: a study of the patient's view.精神病学中的保密性:患者视角的研究
Hosp Community Psychiatry. 1983 Apr;34(4):353-5. doi: 10.1176/ps.34.4.353.
2
Confidentiality: an empirical test of the utilitarian perspective.保密性:功利主义视角的实证检验。
Bull Am Acad Psychiatry Law. 1984;12(2):109-16.
3
Protecting the confidentiality of pretrial psychiatric disclosures: a survey of standards.保护审前精神病学披露信息的保密性:标准调查
N Y Univ Law Rev. 1976 Jun;51(3):409-45.
4
When doctors divulge: is there a "threat from within" to psychiatric confidentiality?当医生泄密时:精神科保密是否存在“内部威胁”?
J Forensic Sci. 1989 Mar;34(2):433-8.
5
Legal issues in medical management of violent and threatening patients.暴力和威胁性患者医疗管理中的法律问题。
Can J Psychiatry. 1986 Nov;31(8):772-80. doi: 10.1177/070674378603100816.
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Case underlines psychiatric issue: to keep confidences or report threats.
N Y Times Web. 1986 May 23:A10.
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Researching the effects of confidentiality law on patients' self-disclosures.研究保密法对患者自我披露信息的影响。
Prof Psychol Res Pr. 1990 Feb;21(1):72-5. doi: 10.1037/0735-7028.21.1.72.
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Patients' responses to their own case reports.
J Am Psychoanal Assoc. 1988;36(2):371-91. doi: 10.1177/000306518803600205.
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Commentary: no place to hide.评论:无处可藏。
J Am Acad Psychiatry Law. 2004;32(1):96-8.
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The use of empathy in forensic examinations.共情在法医检查中的应用。
Ethics Behav. 1993;3(3 and 4):289-302. doi: 10.1080/10508422.1993.9652109.

引用本文的文献

1
The utilitarian argument for medical confidentiality: a pilot study of patients' views.医学保密的功利主义论据:患者观点的初步研究。
J Med Ethics. 2003 Dec;29(6):348-52. doi: 10.1136/jme.29.6.348.
2
Patient perspectives of medical confidentiality: a review of the literature.患者对医疗保密的看法:文献综述
J Gen Intern Med. 2003 Aug;18(8):659-69. doi: 10.1046/j.1525-1497.2003.20823.x.
3
Ethical aspects of assisted reproduction in AIDS patients.艾滋病患者辅助生殖的伦理问题。
J Assist Reprod Genet. 1995 Sep;12(8):537-42. doi: 10.1007/BF02212917.