Ethics & Law · patient case question

Which ethical principle most directly underlies the confidentiality obligation here?

Patient case: Patient who posts a damaging online review

Patient: Adult male, former patient of record

Chief complaint: Rejected the proposed treatment plan.

Background: Became combative during the discussion and left the practice.

Current findings: He has since posted a highly negative public review naming the practice and its staff.

  1. Autonomy
  2. Justice
  3. Non-maleficence
  4. Beneficence
Show answer and explanation

Correct answer: A. Autonomy

  • A. CORRECT. AUTONOMY encompasses the patient's right to self-determination, which includes control over their own health information. Confidentiality and informed consent both derive from it.
  • B. Justice concerns fairness in the distribution of care and resources.
  • C. Non-maleficence is the duty to do no harm.
  • D. Beneficence is the duty to act for the patient's benefit.

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