Do patients know that physicians should be confidential? study on patients' awareness of privacy and confidentiality.

Autor: Mohammadi M; PhD Candidate in Medical Ethics, Medical Ethics and History of Medicine Research Center, Tehran University of Medical Sciences, Tehran, Iran; School of Medicine, Department of Medical Ethics, Tehran, University of Medical Sciences, Tehran, Iran; Faculty of Medicine, Department of Medical Ethics, Mashhad University of Medical Sciences, Mashhad, Iran., Larijani B; Professor, Endocrinology and Metabolism Research Center, Endocrinology and Metabolism Research Institute, Tehran University of Medical Sciences, Tehran, Iran., Emami Razavi SH; Associate Professor, Brain and Spinal Cord Injury Research Center, Neuroscience Institute, Tehran University of Medical Sciences, Tehran, Iran., Fotouhi A; Professor, Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran., Ghaderi A; PhD Candidate in Medical Ethics, Medical Ethics and History of Medicine Research Center, Tehran University of Medical Sciences, Tehran, Iran; School of Medicine, Department of Medical Ethics, Tehran, University of Medical Sciences, Tehran, Iran., Madani SJ; PhD Candidate in Medical Ethics, Medical Ethics and History of Medicine Research Center, Tehran University of Medical Sciences, Tehran, Iran; School of Medicine, Department of Medical Ethics, Tehran, University of Medical Sciences, Tehran, Iran., Shafiee MN; Assistant Professor, Department of English Language, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
Jazyk: angličtina
Zdroj: Journal of medical ethics and history of medicine [J Med Ethics Hist Med] 2018 Feb 13; Vol. 11, pp. 1. Date of Electronic Publication: 2018 Feb 13 (Print Publication: 2018).
Abstrakt: Privacy and confidentiality are among the inalienable rights of every human being that contribute to preservation of a sense of reverence and dignity. The present study was conducted to examine patients' awareness of their entitlement to these important rights. This cross-sectional study was conducted on 200 patients in Tehran, Iran during the year 2010. Collected data included patients' demographics (age, gender, marital status, place of residence, and educational level), type of hospital ward, frequency of hospitalization, duration of hospital stay, and patients' awareness of privacy and confidentiality. Two trained interviewers gathered the data using a self-made questionnaire, which was specifically designed to assess patients' awareness of privacy and confidentiality. Validity and reliability of the questionnaire were determined using content validity and Cronbach's Coefficient Alpha (a = 0.7), respectively. To analyze data, patients were assigned to three categories of poor (0 ≤ scores ≤ 3), moderate (4 ≤ scores ≤ 7) and good (8 ≤ scores ≤ 10) levels of awareness. Statistical analysis was performed by SPSS software version 21. The results showed that 21% of the patients had poor, 72% moderate, and 7% good awareness of privacy and confidentiality, with a mean of 4.61 ± 1.63. In this study, 153 patients (76.5%) provided a correct definition of privacy, and 161 patients (80.5%) were aware of instances of privacy violation. In addition, a good level of awareness was found in 77 patients (38.5%) in terms of physician confidentiality, and in 158 patients (81.4%) regarding confidentiality of examination results and medical consultations. Our study results highlight the necessity to inform patients about the ethical and legal issues related to privacy and confidentiality, before or during admission.
Databáze: MEDLINE
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