Foundations in Continuing Education

HIV/AIDS: Etiology and Oral Manifestations

Part 5. Ethical and Legal Issues


Part 1. Etiology and Epidemiology of HIV and AIDS

Part 2. HIV Transmission and Infection Control

Part 3. Testing and Counseling

Part 4. Clinical Manifestations and Treatment

Introduction
Reporting HIV/AIDS
Spousal Notification
Confidentiality
Disability and
Discrimination

Behaviors Endangering
the Public Health

Part 6. Psychosocial Issues

Conclusion

Glossary

Appendix - HIV (Dental Management of the HIV-Infected Patient)

Resources

References

Post Examination

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Confidentiality

All medical records are confidential and must be maintained in a manner that protects that confidentiality.

Confidentiality of medical information means that information that can be related to the specific patient may not be disclosed to ANYONE except under specific circumstances. Usually, this means that the individual signs a release of information form, but there are exceptions.

The most common circumstances are:

  • If there is a separate, signed release of information form
  • To another healthcare provider for related on-going medical care
  • In a life or death emergency
  • To a third party payor (insurance provider)
  • In the case of reporting notifiable conditions to the local health jurisdiction or the DOH

Violation of the above-mentioned laws is a misdemeanor and may result in civil liability actions for reckless or intentional disclosure up to $10,000 or actual damages, whichever is greater. It is the responsibility of the county's health officer to investigate potential breaches of confidentiality of HIV identifying information and report those to the DOH.

Some areas of the medical record have additional confidentiality requirements because disclosure of the information to the wrong person or agency could mean additional harm to the patient. It has been determined that there exists a level of prejudice, fear and discrimination directed at people with these medical conditions. Therefore, there is a balance between civil protection and information access.

Continue on to Disability and Discrimination