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Ethics in Mental Health Care: A Public Health Perspective
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Katherine H Hall, Sexualization of the doctor—patient relationship: is it ever ethically permissible? Whilst having sexual relationships with current patients is clearly unethical, the ethics of such a relationship between a doctor and former patient is more debatable. In this review of the current evidence, based on major articles listed in Medline and Bioethicsline in the past 15 years, the argument is made here that such relationships are almost always unethical due to the persistence of transference, the unequal power distribution in the original doctor—patient relationship and the ethical implications that arise from both these factors especially with respect to the patient's autonomy and ability to consent, even when a former patient. Only in very particular circumstances could such relationships be ethically permissible.
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Due to the amount of sensitive patient information at healthcare facilities and the life-or-death gravity of medical treatments, the healthcare industry holds itself to high ethical standards. A primary ethical challenge the industry faces concerns the financial aspects of care. Administrators have to balance the costs and effectiveness of treatments with the quality of care.
Until recently in the history of healthcare, writing about and reflection on ethical issues in the health professional—patient relationship have focused primarily on the interactions and expectations of two individuals: a professional traditionally, a physician and a patient. The relationship usually is between a patient and a wide range of health professionals. Today, several basic ethical values, moral duties and rights, and virtues continue to be relevant to their interaction.