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The conflict between accountability and confidentiality in Medicare's access to psychiatrists? notes
1Disability and Community Inclusion, School of Medicine, Flinders University, Adelaide, South Australia, Australia. Paul.Jewell@fl inders.edu.au
Objective:
The aims of this paper were to identify a conflict between psychiatrists? obligations regarding patient confidentiality and Medicare's auditing procedures, and to examine potential resolutions to the conflict.
Conclusion:
While it is reasonable for Medicare, as a taxpayer-funded instrumentality, to require documentary evidence to substantiate and justify claims, such a requirement constitutes a significant breach of patient confidentiality. Obtaining patient consent appears to be the only ethical resolution of the issue.
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