Confidentiality and Managed Care Ethical and Legal

Question: Discuss about the Confidentiality and Managed Care for Ethical and Legal. Answer: Introduction: This is where a patient refuses treatment after the doctor has educated the patient of the diagnosis, prognosis, accessible other interventions, risks and benefits of those options, and risk and probable outcome of no intervention (Lo, at al,2011). The patient needs to be in his rightful mind at the time of refusing treatment, he should not be mentally ill, intoxicated drunk or on drugs at the time of making this crucial decision. This is where patient who does not take a prescribed medication or does not follow a prescribed course of treatment (Donovan, at al, 2010). Course of action that would be most appropriate for Refusal for treatment and Non compliance Where the patient refuses treatment the doctor has an option of providing involuntary treatment. The treatment is usually given by injection or by mouth, but only to control the emergency and the doctor stops administering the involuntary treatment once the patient is out of imminent danger. As for non-compliance the doctor can carry out a discussion with the non-compliant patient on his problem and the steps the patient can take to resolve his problem. Ethical issues that arise related to the patient's right to a confidential therapeutic relationship and the family caregiver's right to information (Davidson, at al, 2012) The health care provider may share or discuss only the information that the person involved needs to know about the patients care or payment for care. The healthcare provider is not supposed to give out the information of the patient without the patients consent. How are the above issues addressed by the Mental Health Act in your State? The mental Act provides for the right of confidentiality where the care giver is supposed to keep the information of the patient confidential. He is not supposed to disclose this information except with the permission of the patient (Donovan, at al. 2006). References Davidson, J.R. and Davidson, T., 2012. Confidentiality and managed care: Ethical and legal concerns. Health Social Work, 21(3), pp.208-215. Donovan, J.L. and Blake, D.R., 2010. Patient non-compliance: deviance or reasoned decision-making?. Social science medicine, 34(5), pp.507-513. Donovan, R.J., James, R., Jalleh, G. and Sidebottom, C., 2006. Implementing Mental Health Promotion: The ActBelongCommit Mentally Healthy WA Campaign in Western Australia. International Journal of Mental Health Promotion, 8(1), pp.33-42. Lo, B., McLeod, G.A. and Saika, G., 2011. Patient attitudes to discussing life-sustaining treatment. Archives of internal medicine, 146(8), pp.1613-1615.