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Le secret professionnel et l’action médico-sociale

Abstract : Professional confidentiality, understood as the obligation not to reveal certain information, is the subject of a number of exceptions. Its study within the particular context of specialised institutions reveals a number of issues. First, professionals working together from different disciplines are each subject to a different patchwork of applicable standards. As a result, it is necessary to clarify these rules, both within the interests of professionals and health-care users. Second, the effectiveness of patient care requires coordination between different professionals based upon shared confidentiality within the same department or health-care centre. Collaboration between professionals is an issue not only affecting the quality of care but also one of economics which allows for the effective management of the supply of health and social care within a given area. As a major challenge of public health policy, such coordination provokes a consideration of the adaptation of the existing legal framework and that of the organisation of the means of sharing confidential patient information within the health care system as a whole for both medical and social care services. This thesis makes a proposal for the necessary amendments to the current legislative framework for derogating from the general principle of confidentiality to allow for an exchange of information between professionals involved in the care of a patient. The evolution of shared confidentiality for the benefit of the patient requires an emphasis upon determining the most highly protective regime for patients without compromising the reality – and constraints – of providing effective health care.
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Submitted on : Thursday, March 29, 2018 - 1:24:56 PM
Last modification on : Tuesday, June 22, 2021 - 4:39:10 PM

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  • HAL Id : tel-01751703, version 1


Céline Breton-Rahali. Le secret professionnel et l’action médico-sociale. Droit. Université de Lorraine, 2014. Français. ⟨NNT : 2014LORR0355⟩. ⟨tel-01751703⟩



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