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We were shocked to read Dr. George Wohlreich’s comment in the article on medical record computerization in the July 4 issue that confidentiality is not an absolute but a "plastic concept." It is not confidentiality that is plastic, but rather one’s sense of morality and ethics that becomes elasticized by association with managed care.
APA’s position regarding confidentiality, according to its Division of Government Relations, states, "Medical data are generated for the care and treatment of patients and should be used to serve their interests. Medical information should not be used for nonmedical purposes without appropriate authorization. The patient’s consent to the release of information from his or her medical record should be informed and given freely, without threat or coercion. Psychiatrists must continue to be the guardians of medical information."
Ralph E. Fishkin, D.O.
Lana P. Fishkin, M.D.
Bala Cynwyd, Pa.