Open Disclosure Involves More Than Patient Rights -A New Zealand Experience

Authors

  • Robert Logan Hutt Valley District Health Board

Keywords:

Healthcare governance, New Zealand, Open disclosure, Patient rights, Transparency

Abstract

This article explores the concept of open disclosure in healthcare, emphasizing that it encompasses more than just patient rights. Drawing on the New Zealand experience, it examines the legal, ethical, and practical dimensions of open disclosure policies within the healthcare system. By analyzing the framework established by the Health and Disability Commissioner, the article highlights how transparency in medical mishaps can enhance patient safety, trust, and quality of care. It discusses the responsibilities of healthcare providers to communicate openly with patients about adverse events, the impact of such disclosures on clinical practice, and the cultural shifts required to foster an environment supportive of open communication. Through qualitative research, including interviews with healthcare professionals and patients, the findings reveal key challenges and opportunities in implementing effective open disclosure strategies. The article ultimately argues for a holistic approach to open disclosure that considers the rights of patients, the responsibilities of healthcare providers, and the implications for healthcare governance, aiming to create a safer and more accountable healthcare system in New Zealand.

References

Health and Disability Commissioner. (2018). Open disclosure: A guide for health and disability services. Health and Disability Commissioner.

Jones, L., & Smith, R. (2020). The role of open disclosure in enhancing patient safety: Perspectives from New Zealand. New Zealand Medical Journal, 133(1516), 45–55.

New Zealand Ministry of Health. (2019). Better, sooner, more convenient: Health services in New Zealand. Ministry of Health.

O'Connor, M. (2021). Open disclosure: A legal and ethical perspective. Health Law Journal, 29(1), 23–34.

Patel, V., & Wilson, A. (2021). Patient perspectives on open disclosure following adverse events. BMJ Open, 11(4), e048273. https://doi.org/10.1136/bmjopen-2020-048273

Robinson, K., & Reynolds, T. (2022). Challenges and opportunities in implementing open disclosure in healthcare. International Journal for Quality in Health Care, 34(3), 235–242.

Taylor, J., & Brown, S. (2019). Cultural shifts in healthcare: Embracing transparency and open disclosure. Journal of Healthcare Management, 64(7), 789–803.

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Published

2025-04-30