PRIVACY AND MEDICAL CONFIDENTIALITY Assist.Prof.Dr. Mehmet KARATAS Dept. of History of Medicine & Ethics

Hippocratic Oath All that may come to my knowledge in the exercise of my profession or in daily commerce with men, which ought not to be spread abroad, I will keep secret and will never reveal.

Privacy/Medical Confidentiality Personal information of patient’s body and private life All identifiable information on the patient's health status, medical condition, diagnosis, prognosis, and treatment

Preserving the Privacy and Medical Confidentiality Trust in physician/patient relationship The patient’s right to autonomy Continue even after the patient's death

Limitations of Privacy/Medical Confidentiality A legal reason In situations where other people get harmed Damage to society Consent of the patient

Ethical Dilemmas Epileptic patient wants to drive car Psychiatric patient uses physical violence to children HIV positive patient

CASE Mr A. is married and has 2 children. He is being treated for pneumonia associated with AIDS. His blood results show that he has HIV Positive. Mr. A says he wants to decide whether to tell his infection to his wife or not. When asked, he says he hasn’t told this to his wife. He doesn’t want his wife to learn about his sexual affairs because he is afraid that this would end their relationship and destroy his family.

Things Health Workers Need to Consider Dialogs with the commuity Relatives of the Patients Insurance Company Media Computer records

Legal Basis International Code of Ethics of Medicine (WMA) The Law on the Practice of Medicine and Medical Sciences Medical Ethics Charter Patients’ Rights Directive Turkish Penal Code Turkish Medical Association Code of Professional Ethics in Medicine

Patients’ Rights Directive Conducting medical assessments in privacy Examination, diagnosis, treatment, and other processes that require direct contact with the patient must be private Having a relative near the patient when medically appropriate Having no one that is not related with the treatment around the patient during medical interventions Preserving the patients privacy and family life

Patients’ Rights Directive Keeping the source of health expenditures confidential The right to privacy should be continued even after the death of the patient In educational health care institutions people not related with the treatment of the patient during the intervetions should have a consent from the patient

References F. Başak ÇAKMAK/Bilal GÜNENÇ, İnönü Üniversitesi Tıp Fakültesi, translation Tolga GÜVEN, Marmara Üniversitesi Tıp Tarihi ve Etik AD ders notları Gürkan SERT, Hasta Hakları Robert M VEATCH, Medical Ethics Emine ATABEK, Mebrure DEĞER, Tıbbi Deontoloji Konuları Hasta Hakları Yönetmeliği, 1998 Klinik Araştırmalar Hakkında Yönetmelik, 2011 Çağlar Boyu Tıp, Roche Yayınları http://en.wikipedia.org/wiki/Main_Page