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Title: Practical responses to confidentiality dilemmas in elite sport medicine
Authors: Malcolm, Dominic
Scott, Andrea
Keywords: Confidentiality
Ethics
Clinical practice
Sports medicine
Sports physiotherapy
Issue Date: 2014
Publisher: © BMJ Publishing Group
Citation: MALCOLM, D. and SCOTT, A., 2014. Practical responses to confidentiality dilemmas in elite sport medicine. British Journal of Sports Medicine, 48 (19), pp. 1410 - 1413
Abstract: Aim: To examine the ethical challenges of upholding patient confidentiality in sports medicine and the practical responses of clinicians to these challenges. Method: Questionnaire survey and follow-up semistructured interviews with the members of the British Olympic Association's Medical Committee and Physiotherapy Forum. Results Clinicians identified three contextual factors that influenced issues related to patient confidentiality in sports medicine: the use of confidentiality waivers; the facilities available for treatment; and the cultural norms of elite sport. They further identified interpersonal strategies used to lessen or eradicate conflicts, including emphasising the benefits and avoidance of disbenefits for athletes and the potential negative consequences for others. Conclusions: Aspects of clinicians' practice environment should be designed to enable compliance with the highest levels of ethical conduct. Professional associations should establish guidelines for clinicians' interpersonal conduct in dealing with confidentiality issues and consider their provision of ethics-based continuous professional development. They should also petition for the establishment of athletes' codes of conduct which identify a context-relevant understanding of 'serious harm' and how that might impact on information disclosure.
Description: This article was published in the journal, British Journal of Sports Medicine [© BMJ Publishing Group]. The definitive version is available at: http://dx.doi.org/10.1136/bjsports-2013-092458
Version: Accepted for publication
DOI: 10.1136/bjsports-2013-092458
URI: https://dspace.lboro.ac.uk/2134/18863
Publisher Link: http://dx.doi.org/10.1136/bjsports-2013-092458
ISSN: 0306-3674
Appears in Collections:Published Articles (Sport, Exercise and Health Sciences)

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