Also known as:patients · patiens · medical patient
Written by attorneys — see sources below.
A person who receives medical diagnosis, treatment, or care from a health-care provider. The relationship creates duties of confidentiality and care on the provider side and supports privileges that protect communications made for purposes of diagnosis or treatment.
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How its tested
Common Examples
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Counseling Session After Shooting
Officer Portia Price met with a licensed social worker for several sessions after a fatal shooting. When a subpoena later sought the social worker's notes, the court applied the federal psychotherapist-patient privilege and barred disclosure of the confidential communications made during diagnosis and treatment.
State Database of Prescription Records
The state health department compiled a computerized list containing the names and addresses of patients who had received prescriptions for controlled substances. Patricia Patel, one such patient, challenged the program on privacy grounds, but the court upheld the collection because reasonable safeguards prevented improper disclosure.
Priya Prasad's physician prescribed a medication whose risks had been fully disclosed to the doctor. When Prasad later suffered an adverse reaction, she sued the manufacturer for failure to warn the patient directly. The court held that the learned intermediary doctrine shielded the manufacturer because the physician's independent judgment broke the causal chain.
Medical Device Warning Dispute
Paula Pierce received an implanted device after her surgeon evaluated the manufacturer's warnings. She later sued the manufacturer claiming inadequate warnings to patients. The court reaffirmed that the duty to warn runs only to the prescribing physician, not the patient, and dismissed the claim.
Causation in Device Liability Suit
Phoebe Park sued a medical-device manufacturer after complications from an implant. She offered only general evidence that physicians knew of certain risks. The Eleventh Circuit held that she had to show the warning to her own physician would have changed the prescribing decision, and dismissed the case under the learned intermediary doctrine.
Ultimate User in Products Liability
Pilar Pena, the end user of a negligently manufactured component, suffered injury when the component failed. The court extended liability to the remote manufacturer because the product was dangerous if defective and reached the user without substantial change, satisfying the requirements for recovery by an ultimate user.
MacPherson v. Buick Motor Co.217 N.Y. 382, 111 N.E. 1050
The defendant Buick Motor Company manufactured automobiles and purchased ready-made wheels from the Imperial Wheel Company of Flint, Michigan. The Imperial company had furnished the defendant with eighty thousand wheels, none of which had proved defective prior to this incident. The defendant sold one such automobile to a firm of automobile dealers in Schenectady, who in turn sold the car to the plaintiff.
While the plaintiff was driving the automobile at a speed of only eight miles an hour, a wheel collapsed because it was made of defective wood whose spokes crumbled into fragments. The plaintiff was thrown out and injured. The wheel had been bought from the outside manufacturer rather than produced by the defendant.
Evidence showed that the defects could have been discovered by reasonable inspection, which the defendant omitted. There was no claim that the defendant knew of the defect and willfully concealed it. The car was designed to go fifty miles an hour. It had seats for three persons.
The plaintiff commenced an action for negligence against the defendant. The case was tried to a jury. The New York Court of Appeals affirmed the judgment with costs.
Does the psychotherapist-patient privilege protect communications with a licensed social worker?
Yes. Federal common law recognizes the privilege for confidential communications made in the course of diagnosis or treatment between a patient and a licensed social worker, operating in most respects like the attorney-client privilege.
Supporting sources
May a state maintain computerized records of patients prescribed dangerous drugs without violating privacy rights?
Yes. The right of privacy does not bar the state from collecting and storing names and addresses of such patients when reasonable safeguards against disclosure are in place.
Supporting sources
Under the learned intermediary doctrine, to whom does a prescription-drug manufacturer owe its duty to warn?
The manufacturer owes the duty to the prescribing physician, not directly to the patient. Adequate warnings to the physician satisfy the duty because the physician exercises independent medical judgment.
Supporting sources
What must a plaintiff prove to overcome the learned intermediary doctrine in a medical-device case?
The plaintiff must show that an inadequate warning to the physician would have altered the physician's prescribing decision. Generalized evidence of risk awareness is insufficient.
Supporting sources
410 U.S. 113 (1973)
…is faced with the risk of criminal prosecution for violation of a statute regulating the performance of abortions may assert his patients' rights as well as his own. Pp. 127-129. 3. The District Court correctly refused injunctive relief but erred in granting declaratory relief to Roe. Pp. 129-166. (a) The principle that a…