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Confidentiality and privacy in healthcare
Confidentiality ethical dilemmas health care
Essays on confidentiality in medical practice
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Public health is the practice in which the general health and wellness of the individual and the population is closely protected and regulated. The general wellness of all individuals in the community is one aspect of society that must be maintained. This is due to the fact that the health and wellness of all individuals in a population affects not only the individual, but also all members of the community. Therefore, health and wellness must be maintained through a cost-benefit analysis method. In the text, a cost benefit analysis is defined as a method in which the costs and the benefits of specific public health policies are compared while also comparing it to the monetary value of the policies (Childress 23-24). This cost benefit analysis …show more content…
The weight of privacy and confidentiality, in regards to public health, only extends to some instances. However, privacy and confidentiality decreases in importance when in different and dire situations. Overall, in order for respect between the individual and their health care professional, privacy and confidentiality must be maintained. However, there are many instances in public health where individual liberties must be compromised in order to protect and maintain the health of the individual and the health of the community. For instance, in many public health crises, individual liberties, including privacy and confidentiality, must be compromised in order to help the individual. For example, during terrorist attacks, many individuals are severely injured and must be healed immediately. These individuals may not have privacy in this crisis in order to be healed in a separate room, rather many of these individuals are healed on site. Therefore, privacy is withheld in order to take care of an individual. As stated previously, privacy and confidentiality may be withheld not only in regards to the health of an individual, but also in regards to the health of the community or population. The health of the population typically must compromise the confidentiality between the individual and their health care professional. An example of this applies to the AIDS epidemic that occurred in the United States. Many people in the US were infected with the HIV virus that spread to different individuals in the population. During this time, confidentiality was broken in order to protect other people in the population that came in sexual contact with a specific individual who contracted the HIV virus. Although many people do not agree with the concept, individual
There are several basic approaches that can be utilized when conducting economic evaluations for any new health care intervention; which can include medications that are designed for the treatment and prevention of disease and how to relate the effectiveness with the overall monetary value of the new treatment. The economic tools that can be employed to perform such an analysis can be broken down into four basic parts that consist of cost-minimization analysis (CMA), cost-effectiveness analysis (CEA), cost-benefit analysis (CBA) and cost-utility analysis (CUA). These four categories will contain the major financial analytical techniques employed when evaluating medical treatments and interventions along with other types termed cost-consequence
Public health by its very definition emphasizes public classification over the individual body. Its basic goal is to establish effective general health services that meet the minimum health requirements for a majority of people. With this general goal in mind, there are two major assumptions made within the formation of public ...
As a college student, you are required to make decisions all the time. These decisions differ in there level of seriousness and way it can affect you as an individual and how they may affect your academic performance. I came to college as an athlete, and my choice to be a college athlete meant my life would be different from traditional students. The rigor of my sport meant i would have weights every morning, and practice in the afternoons. It meant I would have to miss class to travel for games but that is what I signed up for.
Children with AIDS were prevented from going to school; infected adults lost their jobs, their families, and were shunned by a fearful society. Available testing for AIDS was underutilized by the gay population for fear of further social consequences. The government was finally forced to take action through media channels to manage the global threat to all people that AIDS not presented. Out of necessity to manage the virus and provide reassurance to those infected the government implemented privacy laws that protected the individuals who tested positive for the AIDS.
In today’s society with the blogs, the gossip sites and the other forms of social media, confidentiality is a thing of the past. However, for, physicians and other health professionals, they are held to a higher standard to maintain a level of ethics and confidentiality for their patients. Confidentiality is a major duty for a health professional, but is there ever a time to where it is okay to tell what a patient says in confident? What if the patient is a minor, or a senior citizen or someone who is mentally challenged? What if a patient is being abused or wants to commit suicide? Does it matter if it is a nurse, or a dentist, or a psychologist or is all medical professional held to the same moral standard? What roles does a consent form or Health Insurance Portability and Accountability Act plays in the medical world in being confidentiality? I would like to explore Confidentiality and the moral effects it has on the health profession.
Every patient that is admitted to hospital, or seen by a health professional has a right to his or her own privacy, and it is through ensuring professional boundaries are upheld that this basic right can be achieved. According to Levett-Jones and Bourgeois (2011, pp. 237) confidentiality is an obligation made by a professional to respect the information given by a patient to healthcare professional. In this modern age, privacy can be hard as society relies on technology as a form of communication, allowing for information to be more readily available. However, by posting on Facebook about a patient or informing a friend, the trust created in a therapeutic relationship is breach and is called a boundary crossing. Thompson (2010, pp.26) understands that “At times, boundary crossing may be unintentional, but emphasizes th...
Privacy and confidentiality is a very important concept in the health care system and must be handled carefully to avoid disclosing crucial information about patients.
In medical ethics, when making decisions, the question is asked, “Does the benefit of quarantine outweigh the consequence to public health if quarantine was not chosen?” (Reed, 2015). The guiding principles, that lead to this conclusion, are the medical ethics: autonomy, beneficence, and justice. According to Kominski (2013) medical ethics, in regard to autonomy, are concerned with a patient’s personal privacy and liberty, freedom of choice, and self-control in their free will. Translated to the field of public health, this means the above are entitled to a person as long as they do not bring harm to others. Beneficence, and medical ethics is defined as bringing no harm while promoting the welfare of others. In public health, in means the general goal of health policy and practice when overseeing the welfare of society when considering the rights of others. And in terms of Justice, the focus is on equity, whether it be access to a service or benefits derived from, it is the sole premise of public health. When making a decision then, to isolate or quarantine, public health and medical practitioners aim to find a net health benefit, one that fits everyone best (Reed, 2015). However, while the net health benefit considers both, the individual(s) and the community, it does not consider post-isolation or quarantine, in regard to the after effects, specifically the one of
Confidentiality in health care is a growing concern as nurses are often faced with the challenges of reacting to question regarding patient’s progress (McGowan, 2012). Confidentiality as defined by Gregory, Raymond-Seniuk, Patrick and Stephen (2015) is the promise given to a person that his or her personal information will not be disclosed randomly if no consent has been given regardless of who is seeking such information (p.600). This paper will attempt to explore the concept of confidentiality as a sensitive issue, challenges that nurses face as they try to protect patient’s health information and some guidelines that govern protection of information and when this information can be divulged.
Given a case scenario participants should be able to differentiate those situations where patient confidentiality is not followed.
Also the essay will discuss the strengths and weaknesses of each approach as this can be an indicator if this approach is applied, whether it can address inequality and improve the health and well being of that individual or society. The essay will use the Dahlgren and Whitehead social determinants of health of need to exemplify the determinants of health showing how these determinants can influence the way health is viewed as holistic or merely an absence of disease. Lastly, the essay will analyse the evaluation with these approaches plus the importance of evaluation to present programs and future programs or activity.
National health systems are assessed by the extent to which expenditure and actions in public health and medical care contributes to the crucial social goals of improving health, increasing access to quality healthcare, reducing health disparities, protecting citizens from penury due to medical e...
Cost-benefit analysis is an economic approach decision making that compares the strengths and weaknesses of each choice in order to determine which option will provide the most amount of benefits and the least amount of costs. This method is often applied to decisions that concern the environment as an attempt to determine the value of the environment before following through with decisions to preserve or utilize the environment for resources. Although many economists believe that cost-benefit analysis is an efficient way to make most decisions, some philosophers suggest that certain things, including the environment, have innumerable values, therefore, cost-benefit analysis may not be a reliable method to make decisions regarding these things.
To begin, the text explains public health and the implications it has towards the individual’s and community’s health. This idea then branches off stating that the decisions that are necessary to public health must include an ethical background in order to decide on correct solutions to public health issues. This, ultimately, causes controversy among different groups in the United States. This ideal is expressed in the text, as the author states “Public health is an ethical enterprise, resting on moral foundations, yet some public health interventions appear to threaten or compromise other moral norms, such as liberty, privacy, and confidentiality. Hence, public health decisions are sometimes ethically fraught” (Childress and Bernheim 3). This quote states that, although public health follows specific ethical policies, there are many policies and interventions enacted that go against individual liberties in the United States in order to provide proper health to all individuals. I personally chose this statement, as it describes many of the pros and cons found in numerous public health decisions. Many decisions related to public health are not simple, since these policies affect not only the primary group of focus, but also all other individuals in society. Due to this fact, the policies made are often controversial due to this infringement on liberties, since it is the foundation of our country. I believe that this statement is important to the text and to public health ethics as it ultimately describes the main controversy found in public health today. Currently, public health officials must navigate through this controversy in order to benefit a major part of the individuals in our society. Thus, it is important to discuss this statement and this controversy as, without these decisions made, the United States would not
Externalities are considered to be any impact on people who are not involved in an economic transaction. Externalities can be positive or negative. In the healthcare industry, there are positive and negative externalities due to the care that’s provided to other people. The people who are not directly involved in the treatment benefit from others being healthy because it decreases the chance of them catching the same illness. This is one of the many positive externalities that exist from others receiving health care services.