Professional Documents
Culture Documents
Confidentiality
dr. Nur Azid Mahardinata
Center for Bioethics and Medical Humanities
Faculty of Medicine, Gadjah Mada University
Seorang wanita datang berobat ke dokter ahli kandungan karena
keputihan. Dalam pemeriksaan dokter menemukan penyebabnya,
yaitu kondom yang tertinggal cukup lama di dalam vagina.
Patients
17 % were dissatisfied on how the physician handle confidential
information
96 % recognized the common practiced for second opinion
69 % expected to be discussed in professional setting
50 % expected to be discussed with nursing staff
Generally did not expect to be discussed in Medical Journals,
or to the spouses or friends
SURVEYS (2)
Expectations & Practices
• Hippocratic Oath
“What ever, in connection with my professional
practice, or not in connection with it, I see or hear,
in the life of men, which ought not to be spoken of
abroad, I will not divulge, as reckoning that
all such should be kept secret”
The Ethical Basis (2)
• Priestly Medicine
Penyakit adalah hukuman atas dosa dari Tuhan, sehingga
memberitahukan seseorang berpenyakit sama artinya dengan
memberitahukan dosa orang lain
• Medical records
• Medical history
• Drugs prescription
• Medical tests administered
• Reimbursement records
• Computerized record
Pembukaan Rahasia Medis (1)
• Keadaan Darurat
– Pasien tidak mampu memberikan consent, boleh dilakukan
komunikasi atar sejawat
Individual
Interest/rights
Social interest/rights
Sanksi Pelanggaran Kerahasiaan Medis (1)