From Hippocrates to HIPAA: privacy and confidentiality in emergency medicine--Part I: conceptual, moral, and legal foundations.
Respect for patient privacy and confidentiality is an ancient and a contemporary professional responsibility of physicians. Carrying out this responsibility may be more challenging and more important in the emergency department than in many other clinical settings. Part I of this 2-part article outlines the basic concepts of privacy and confidentiality, reviews the moral and legal foundations and limits of these concepts, and highlights the new federal privacy regulations implemented under the Health Insurance Portability and Accountability Act of 1996. Part II of the article examines specific privacy and confidentiality issues commonly encountered in the ED.
Moskop
John C
JC
Department of Medical Humanities, The Brody School of Medicine at East Carolina University, Bioethics Center, University Health Systems of Eastern Carolina, Greenville, NC 27834, USA. moskopj@mail.ecu.edu
Marco
Catherine A
CA
Larkin
Gregory Luke
GL
Geiderman
Joel M
JM
Derse
Arthur R
AR
D032781:Codes of Ethics; D003219:Confidentiality / Q000941:ethics* / Q000331:legislation & jurisprudence / Q000592:standards; D004635:Emergency Medicine / Q000941:ethics* / Q000331:legislation & jurisprudence / Q000592:standards; D004636:Emergency Service, Hospital / Q000941:ethics / Q000592:standards; D020408:Health Insurance Portability and Accountability Act / Q000941:ethics / Q000331:legislation & jurisprudence; D006625:Hippocratic Oath; D006801:Humans; D009014:Morals; D018907:Privacy / Q000331:legislation & jurisprudence; D014481:United States