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Title: The social management of medical ethics in sport: confidentiality in English professional football
Authors: Waddington, Ivan
Scott, Andrea
Malcolm, Dominic
Issue Date: 2017
Publisher: © The authors. Published by SAGE Publications Ltd
Citation: WADDINGTON, I., SCOTT, A. and MALCOLM, D., 2017. The social management of medical ethics in sport: confidentiality in English professional football. International Review for the Sociology of Sport, In Press.
Abstract: This paper examines one of the major ethical challenges in the practice of sports medicine, confidentiality. Drawing on interview and questionnaire data with doctors and physiotherapists working in English professional football clubs, it explores the degree to which ethical compliance has improved since the publication of, and publicity surrounding, an earlier study of medical practice in professional football conducted by Waddington and Roderick (2002). Thus, it provides an updated empirical examination of the management of medical ethics in sport. The data illustrate how the physical and social environmental constraints of sports medicine practice impinge upon the protection of athlete-patient confidentiality, how ethical codes and conflicting obligations converge to shape clinician behaviour in relation to lifestyle and injury issues and the ethically problematic contractual constraints under which clinicians and athletes operate. It demonstrates that medical ethical practice continues to be very variable and draws on Freidson’s (1970) work on medical ‘work settings’ to argue that there is a need to augment existing confidentiality policies with more structurally-oriented approaches to ensure both professional autonomy and medical ethical compliance in sport.
Description: This paper was accepted for publication in the journal International Review for the Sociology of Sport and the definitive published version is available at https://doi.org/10.1177/1012690217733678
Version: Accepted for publication
DOI: 10.1177/1012690217733678
URI: https://dspace.lboro.ac.uk/2134/27204
Publisher Link: https://doi.org/10.1177/1012690217733678
ISSN: 1461-7218
Appears in Collections:Published Articles (Sport, Exercise and Health Sciences)

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