Volume 176, Issue 6 pp. 279-280
Clinical Ethics

Community versus individual benefit

Bernadette M Tobin MA, PhD

Corresponding Author

Bernadette M Tobin MA, PhD

Director

Plunkett Centre for Ethics in Healthcare, St Vincent's Hospital, Darlinghurst, NSW.

Correspondence: [email protected]Search for more papers by this author
Stephen R Leeder PhD, FRACP, FFPHM

Stephen R Leeder PhD, FRACP, FFPHM

Dean

Faculty of Medicine, University of Sydney, Sydney, NSW.

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Ernest R Somerville MB BS, FRACP, FRCP

Ernest R Somerville MB BS, FRACP, FRCP

Consultant Neurologist

Epilepsy Unit and Department of Neurology, Westmead Hospital, Westmead, NSW.

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First published: 18 March 2002
Citations: 8

Abstract

  • Australian law embodies a “communitarian” conception of the doctor's responsibility to respect the confidentiality of the doctor–patient relationship.
  • This implies that respect for confidentiality sits alongside two other responsibilities: proper care for the patient's general wellbeing and proper attention to the safety of the community.
  • Most jurisdictions now require drivers to advise their local driver-licensing authority of any permanent or long-term injury or illness that affects their ability to drive safely.
  • Some jurisdictions require doctors to inform the driver-licensing authority about patients whose medical condition may impair their driving to the extent that they are likely to endanger the public.
  • If you can not persuade a patient to inform the driver- licensing authority of the need for an assessment of his or her ability to drive safely, then you should inform the relevant authorities yourself.

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