The problem of preservation of confidentiality when working with TB patients

Abstract

Introduction: Medical secret is information that does not have the right to be disclosed by the medical workers and other persons in connection with the performance of their professional or official duties became known about the state of health, illness, and the fact of asking for medical advice, diagnosis, medical examination, inspection, and their results, intimate and family aspects of person's life, a medical secret is one of the main problems to solve this issue as tuberculosis prevention on the one hand, and preserving the privacy of personal life, his health, on the other. Because TB in Ukraine and in the world is common. About 1.8 million deaths from various forms o f tuberculosis are stated annually in the world. Purpose and Objectives: To review the legal framework to ensure confidentiality when working with TB patients, to identify issues and their solutions. Materials and Methods: Legislative acts (the Constitution of Ukraine, laws of Ukraine on health protection, the criminal code of Ukraine, the Family code of Ukraine), statistics on the incidence of tuberculosis in Ukraine. Methods: comparative legal, statistical, forecasting and epistemological. Results: It is prohibited to demand and serve at the place of work or study information about diagnosis and treatment of the patient. For unlawful disclosure of information by the current legislation stipulates responsibility according to 145 of the criminal code of Ukraine. In the legislation of Ukraine is noted that responsibility for disclosure the information on the health status o f the patient are not drawn: the brides and the parents of children up to 14 years, the legal representative, doctor's of SES, who revealed the secret with the purpose of elimination of employment and training of TB patients, the doctors, the disclosure of classified information at the request of persons engaged in the production investigator — prosecutor, court. When conducting tuberculosis chemoprophylaxis the contact persons to preserve patient confidentiality becomes almost impossible. According to the instructions of the Ministry of health order № 499 dated 28.10.2003 aid to TB patients, a group of people who are in contact with persons, who are contagious people are held chemoprophylaxis, vaccination of uninfected children with BCG. Conclusion: Thus, the issue of preserving in secret the information about the diagnosis and course of the disease tuberculosis is complicated enough. So, trying to minimize the risk of disease is quite difficult to observe complete confidentiality. Current legislation does not ensure full observance of medical confidentiality.