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

2. 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.

3. 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

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

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

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

7. 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.

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

9. 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

10. 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

11. 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

12. 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