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Intruders in the consultation

F Sullivan1

  • 1Department of General Practice, University of Glasgow, Woodside Health Centre, UK.

Family Practice
|March 1, 1995
PubMed
Summary
This summary is machine-generated.

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Family practice confidentiality faces threats from telephone calls, students, and technology. This study analyzes intrusions, proposing conditions for permissible access and strategies to minimize their impact on patient privacy.

Area of Science:

  • Family Medicine
  • Medical Ethics
  • Patient Confidentiality

Background:

  • Confidentiality is a cornerstone of the patient-physician relationship in family practice.
  • Several factors are increasingly challenging the sanctity of the confidential consultation.

Purpose of the Study:

  • To analyze the disruptive influences impacting family practice confidentiality.
  • To evaluate the benefits and drawbacks of these intrusions based on evidence.
  • To propose conditions for permissible intrusions and methods to mitigate their effects.

Main Methods:

  • Review of current literature on factors affecting patient-physician confidentiality.
  • Analysis of the potential benefits and documented drawbacks of specific intrusions.
  • Development of recommendations for managing confidentiality in family practice.
Keywords:
Professional Patient Relationship

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Main Results:

  • Common intrusions include telephone calls, students, technology (video recorders, computers), and administrative protocols.
  • While some intrusions offer potential benefits (e.g., training, efficiency), they carry significant risks to confidentiality.
  • Evidence suggests a negative impact of these intrusions on the quality of the patient-physician relationship.

Conclusions:

  • Protecting patient confidentiality requires a critical evaluation of all factors that may compromise it.
  • Clear guidelines and practical strategies are needed to manage permissible intrusions.
  • Minimizing the impact of unavoidable intrusions is crucial for maintaining trust in family practice.