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Karapatan ng mga pasyente sa privacy at confidentiality
PTVPhilippines
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9/2/2024
Karapatan ng mga pasyente sa privacy at confidentiality
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00:00
Now, let's talk about patient privacy.
00:03
This is one of the hot topics on social media, Fee.
00:08
It's a well-known topic.
00:09
After that, there were spread videos of a fight here
00:13
and the patient's information was spread without an end.
00:17
Let's know the laws about this and the rights of each one.
00:21
When it comes to this situation,
00:23
let's go back to Dr. Villa Roderos Galván, a general physician.
00:27
Dr. Villa, good morning. Welcome to Rise and Shine Pilipinas.
00:29
Good morning.
00:30
Good morning, Prof. Fee, Sir Audrey.
00:32
Good morning to all of our viewers.
00:35
Okay.
00:35
For our fellow countrymen, Dr. Villa,
00:39
what does patient privacy and protection mean
00:43
and why is it important for patients?
00:46
When we talk about patient privacy,
00:49
it's an important component of healthcare
00:52
wherein we protect sensitive information about our patients.
00:58
Under this particular premise,
01:02
we have two guidelines.
01:07
Especially for us, as doctors,
01:09
we have our Code of Ethics for Physicians.
01:12
What's written there,
01:14
especially in Section 2 of our Code of Ethics,
01:19
all the information that patients give and volunteer to you
01:24
is sacred.
01:25
Okay.
01:26
You should treat it with utmost respect and confidentiality
01:31
because this information was given out of trust
01:36
in your relationship as doctor and patient.
01:39
And another law or another guideline that we abide by,
01:43
especially when it comes to patient protection,
01:46
is the Data Privacy Act.
01:48
Okay.
01:48
Actually, our Data Privacy Act provides protection for our patients.
01:53
So data privacy or patient privacy and protection
01:57
pertains to any sensitive information
02:01
that should be protected with regard to our patients.
02:04
There.
02:05
Doc, I just have a clarification because you mentioned Code of Ethics, right?
02:08
Yes.
02:09
Although it's ethics, it's just a moral philosophy.
02:11
It means we're going to follow it.
02:14
If not, you can't be punished.
02:17
But on any cases, we're talking about the Code 2.
02:21
Is there a law anchored here
02:23
or is it the data privacy that can be used here
02:25
to be punished?
02:27
Yes.
02:28
It's good that you brought up our Code of Ethics.
02:31
Although there's no criminal liability there,
02:34
you can still go under, of course, the scrutiny of PRC.
02:38
There are regulatory boards.
02:40
You can have an administrative case.
02:43
You can also have a chance to lose your license because of it.
02:49
But in terms of criminal liability,
02:51
our patients are protected actually by the Data Privacy Act,
02:55
which also entails penalties if you have breached sensitive information
03:01
or depending on what kind of breach happened.
03:04
Which is what we call the privileged or should I say protected health information.
03:08
Yes.
03:09
What are the examples?
03:10
Here are some examples.
03:11
Okay.
03:11
So when we talk about patient protection or protected information,
03:16
we have to establish first doctor-patient confidentiality.
03:20
So it means that everything that goes and transpires
03:23
between the doctor and the patient is protected,
03:26
including your identity as a patient,
03:30
what is your case,
03:32
is there going to be a procedure that's going to be related
03:35
to the disease that we are curing.
03:38
So especially if you're not in the healthcare team of a patient,
03:43
we are not allowed to disclose even to our family members,
03:47
even to our colleagues also,
03:49
especially those who are not part of the healthcare team of the patient.
03:53
Because we are bound by not only by the code of ethics,
03:56
but of course, patients are protected by the law.
04:02
To follow up on the question of Fino,
04:05
because it's not just documents, doctor,
04:07
we have cell phones that we can video call.
04:10
For example, if the patient is a celebrity
04:13
or a high-ranking official in the government,
04:16
and it goes out to the public,
04:18
and the public is concerned and scrutinized,
04:20
the public will...
04:21
The media circles.
04:22
Yes.
04:23
So is this also against the code of ethics and the law?
04:28
Yes.
04:28
So to err to the side of safety,
04:32
usually we follow up if we have to protect the identity of the patient,
04:36
that's why usually in hospitals,
04:38
we always have reminders to the patients that they are not allowed to video call,
04:44
they are not allowed to take pictures,
04:46
because what the law, the spirit of the law is after
04:50
is to protect the dignity of the patient.
04:53
So ideally, if for example,
04:57
there's a face that comes out,
04:59
there's a name that comes out,
05:02
usually this should not happen.
05:06
So anything that would concern the patient,
05:09
and the doctor itself,
05:11
that should not come out,
05:12
because under the data privacy act and code 2.
05:15
Unless of course, consent.
05:18
Consent is important.
05:19
Consent, sure.
05:19
Of course.
05:20
How about the medical history of a person?
05:23
Of course, if there's an official running around in the government,
05:27
their history is scrutinized,
05:29
even their health.
05:30
That should be said, right?
05:32
So how is this?
05:33
Usually, when we talk about medical history,
05:36
it's under still the sensitive information
05:41
that we do not have to disclose.
05:43
Especially if we tie it to an identity.
05:46
So for example,
05:48
in the case of, for example,
05:50
we will present a case study of a patient,
05:54
we would redact the information about their name.
05:58
Yes, when it comes to research,
06:00
we really don't name it.
06:01
Especially, there should be consent.
06:03
If it's a high-ranking official,
06:05
it should be said to the public,
06:07
it's a spokesperson.
06:08
That's why the media can ask.
06:10
Aside from the doctors,
06:14
who are the ones who need to follow the rules of
06:18
what we call patient privacy and inprotection?
06:21
Are they all employees of clinics and hospitals?
06:24
Is this across the board?
06:26
Yes.
06:28
Since there is a law that protects patients,
06:32
it's across the board.
06:33
So any healthcare professional
06:37
under the jurisdiction of a surgeon,
06:40
even interns, especially interns,
06:44
because one of the things that we usually teach
06:48
our medical professionals,
06:50
our medical students,
06:51
before they graduate,
06:54
is patient privacy.
06:57
That's part of our medical jurisprudence
07:00
that they have to pass before they graduate.
07:03
So, including medical trainees,
07:06
have to abide by the law
07:08
and have to abide by the code of ethics.
07:10
Alright, thank you very much for all the information
07:12
that you shared with us this morning, Dr. Ravia.
07:14
Again, we have Dr. Ravia Arderos-Galvan
07:19
to talk about private information
07:23
to patients.
07:25
Thank you very much, Doc.
07:26
Thank you so much.
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