Confidentiality expectations of patients, physicians, and medical students.
Confidentiality expectations of patients, physicians, and medical students.
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患者、医生和医学生的保密期望。
DOI：
10.1001/jama.1982.03320440043032
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发表时间：
1982
期刊：
影响因子：
--
通讯作者：
B. Weiss
中科院分区：
文献类型：
--
作者：
B. Weiss
一百七十七例患者，53名医学生，和109家工作人员进行了调查问卷的保密性，病人给医生的信息。医生和学生报告说，在大多数患者不希望发生这种情况的情况下讨论病例。这包括在聚会上（36%对9%）和与配偶（51%对17%）的讨论，以及通过姓名识别患者（60%对23%）。病人和医务人员都认为，与其他医生讨论病例是很常见的，即使是在大型会议上，也是为了获得更多的意见或因为兴趣。然而，患者认为发生这种情况的可能性低于医生（90% vs51%）。医学生在接受培训的头60天里，他们的反应更像医生，而不是普通大众。医生在不同级别的培训中做出了类似的反应。初级与非初级保健医生的反应没有差异。
One hundred seventy-seven patients, 53 medical students, and 109 house staff were surveyed by questionnaire regarding the confidentiality of information that patients give to physicians. Physicians and students reported discussing cases in situations in which most patients did not expect this to occur. These included discussions at parties (36% v 9%) and with spouses (51% v 17%), and identification of patients by name (60% v 23%). Both patients and medical personnel thought it was common to discuss cases with other physicians, even at large meetings, for additional opinions or because of interest. However, patients were less likely than physicians to think that this occurred (90% v 51%). Medical students in their first 60 days of training responded more like physicians than like the lay public. Physicians responded similarly at various levels of training. Primary v non-primary care physicians showed no differences in response.