title: Patient and provider relationships: consent, confidentiality, and managing mistakes in integrated primary care settings.
abstract: Health care in the United States is advancing toward increasingly integrated primary care systems. With this evolution comes a responsibility for providers to carefully consider a variety of issues related to ethical conduct. While working within the same teams on behalf of the same patients and families, professionals representing different disciplines are guided by different sets of baseline ethics guidelines and codes-and the overlap and differences between these principles can easily translate into ethical breaches. Using a clinical vignette as the basis for our discussion, we address issues of informed consent, confidentiality, and grievance procedures specifically. We review extant literature and formal ethics codes upheld by nine leading professional organizations across these foci, offer recommendations about how to manage this clinical scenario, and highlight what is needed to advance our understanding of integration ethics.
authors.affiliation: Department of Child Development and Family Relations, East Carolina University, 130 Rivers Building, Greenville, NC 27858-4353, USA. hodgsonj@ecu.edu
authors.forename: Jennifer
authors.initials: J
authors.lastname: Hodgson
authors.forename: Tai
authors.initials: T
authors.lastname: Mendenhall
authors.forename: Angela
authors.initials: A
authors.lastname: Lamson
mesh_terms: D000328:Adult; D001524:Behavioral Medicine / Q000941:ethics* / Q000458:organization & administration / Q000639:trends; D003219:Confidentiality / Q000941:ethics* / Q000592:standards; D034462:Dissent and Disputes; D005260:Female; D020408:Health Insurance Portability and Accountability Act; D006801:Humans; D033181:Information Dissemination / Q000941:ethics; D007258:Informed Consent / Q000941:ethics* / Q000592:standards; D033183:Interdisciplinary Communication; D008499:Medical Records / Q000592:standards; D010348:Patient Care Team / Q000941:ethics* / Q000458:organization & administration / Q000639:trends; D011320:Primary Health Care / Q000941:ethics* / Q000458:organization & administration / Q000639:trends; D011369:Professional-Patient Relations / Q000941:ethics*; D012955:Societies, Medical / Q000941:ethics / Q000592:standards; D014481:United States