VIETNAMESE ETHICAL AND LEGAL CHALLENGES IN PROTECTING PATIENT PRIVACY THROUGH INFORMED CONSENT
Protegendo a Privacidade do Paciente por meio do Consentimento Informado
DOI:
https://doi.org/10.18623/rvd.v23.n52.4253Abstract
This article examines the relationship between patients and healthcare facilities or medical practitioners through the lens of informed consent, emphasizing the patient’s right to informational privacy, which includes personal and health-related data. From the perspective of the 2023 Law on Medical Examination and Treatment and the 2025 Law on Personal Data Protection, the article presents objective arguments highlighting the need to protect patients’ rights in the processing and sharing of personal and health information. These arguments are grounded in both ethical principles and legal justifications. However, under the current Vietnamese legal framework, patients’ rights to keep their health information confidential are not fully protected, especially regarding informed consent. This insufficient legal protection may hinder the growth of the healthcare system, particularly in the era of digital transformation.
References
1. Robert D. Miller, Problems in Health Care Law (9th Edition). Jones and Bartlett Publishers; 2016:2.
2. Safa Mousavi. Global Ethical Principles in Healthcare Networks, Including Debates on Euthanasia and Abortion. Cureus part of Springer Nature 2024; https://www.cureus.com/articles/203939-global-ethical-principles-in-healthcare-networks-including-debates-on-euthanasia-and-abortion#!/ https://doi.org/10.7759/cureus.59116.
3. Grenaldo Ginting, Nining Suningrat. Development of Legal Framework for the Management of Ethical Conflicts in Patient Care. ANAYASA Journal of Legal Studies 2024; 2(01): 35-43.
4. Subin Jimmy, Human Rights and Code of Ethics: Perspectives of Nurses and Patients, International Journal for Multidisciplinary Research (IJFMR) 2024; 6(02): https://www.ijfmr.com/papers/2024/2/15352.pdf; https://doi.org/10.36948/ijfmr.2024.v06i02.15352.
5. E. Sakellari . Patient's autonomy and informed consent. Icus Nurs Web J 2003; 13: 4-5 of 9.
6. Law on Medical Examination and Treatment 2023 of The Socialist Republic of Vietnam (9 January 2023) online at: https://thuvienphapluat.vn/van-ban/The-thao-Y-te/Luat-15-2023-QH15-kham-benh-chua-benh-372143.aspx.
7. Law on Personal Data Protection 2025 (passed by the National Assembly on June 26, 2025) online at: https://thuvienphapluat.vn/van-ban/Bo-may-hanh-chinh/Luat-Bao-ve-du-lieu-ca-nhan-2025-so-91-2025-QH15-625628.aspx.
8. Thirumoorthy. Core concepts of consent in medical practice. Singapore Medical Journal 2023; 64(06): 398-402.
9. https://journals.lww.com/smj/fulltext/2023/06000/core_concepts_of_consent_in_medical_practice.7.aspx
10. https://doi.org/10.4103/singaporemedj.smj-2023-044
11. Andreotta, A.J., Kirkham, N., and Rizzi, M. AI, big data, and the future of consent. AI and Society 2022; 37(4): 715–1728.
12. https://doi.org/10.1007/s00146-021-01262-5.
13. Berg, J.W. et al. (Informed Consent - Legal Theory and Clinical Practice 2001 (Second Ed). Oxford University Press.
14. Astromskė, K., Peičius, E. and Astromskis, P. Ethical and legal challenges of informed consent applying artificial intelligence in medical diagnostic consultations, AI and Society 2021; 36(2): 509–520.
15. https://doi.org/10.1007/s00146-020-01008-9.
16. Wałdoch, K. Informed Consent for the Use of AI in the Process of Providing Medical Services , Review of European and Comparative Law 2024; 57(2).
17. https://doi.org/10.31743/recl.17239.
18. Gerke, S., Minssen, T. and Cohen, G. Ethical and legal challenges of artificial intelligence-driven healthcare. Artificial Intelligence in Healthcare 2020 (Elsevier): 295–336.
19. https://doi.org/10.1016/B978-0-12-818438-7.00012-5.
20. Gilboa, M. and Pelled, Omer.Y. The Costs of Having (Too) Many Choices: Reshaping the Doctrine of Informed Consent’, 84 Brook. L. Rev.2019: 367-406.
21. Grimm, D.A. (2007) ‘Informed Consent for All! No Exceptions’, 37 N.M. L. Rev. 2007 :39-92.
22. G. A. Vallejo-Jiménez, Juliana Nanclares-Márquez. Legal review of the civil, criminal, and administrative consequences of informed consent violation in medical practice, Colombian Jounal of Anethesiology 2019; 47(2): 107-112.
23. https://journals.lww.com/rca/fulltext/2019/06000/legal_review_of_the_civil,_criminal,_and.5.aspx
24. https://doi.org/10.1097/CJ9.0000000000000102.
25. Roy McClelland. Information Privacy in Healthcare — The Vital Role of Informed Consent, European Journal of Health Law 2023; 30: 469–480
26. https://brill.com/view/journals/ejhl/30/4/article-p469_5.xml?ebody=pdf-130820
27. https://doi.org/10.1163/15718093-bja10097.
28. Hong Yen Thi Nguyen et al. Fragmented understanding: exploring the practice and meaning of informed consent in clinical trials in Ho Chi Minh City, Vietnam. BMC Medical Ethics 2023; 24:3.
29. https://bmcmedethics.biomedcentral.com/articles/10.1186/s12910-023-00884-2
30. https://doi.org/10.1186/s12910-023-00884-2
31. Waewpen Piemwichai. Report: Vietnam’s First-Ever Personal Data Protection Decree, Global Privacy Law Review 2023; 4(03):121-126.
32. https://doi.org/10.54648/gplr2023013.
33. Bach Thi Nha Nam, Nguyen Ngoc Phuong Hong. Addressing the Challenges of Data Privacy Protection Law in Vietnam. VNU Journal of Science: Legal Studies 2023; 39 (01): 30-44.
34. https://doi.org/10.25073/2588-1167/vnuls.4413
35. Inensa Khoirul Harap, Informed Consent Position in Doctor and Patient Relationship, Journal of Social 2021; 2(01): 31-39.
36. DOI:10.37899/journal-la-sociale.v2i1.304
37. Elana Rivkin-Haas. Electronic medical records and the challenge to privacy: How the United States and Canada are responding. 34 Hastings International and Comparative Law Review 2011; 177: 6
38. Vinmec International General Hospital Joint Stock Company’s Personal Data Protection Policy, 6 May 2025, online at: https://www.vinmec.com/vie/bai-viet/chinh-sach-bao-ve-du-lieu-ca-nhan-cua-cong-ty-co-phan-benh-vien-da-khoa-quoc-te-vinmec.
39. Ngoc Lan, Life insurance and the story of honest information, Investment finance newspaper, 6 June 2016
41. Precedent No. 22/2018/AL regarding non-violation of the obligation to disclose medical conditions in life insurance contracts; Appellate Judgment No. 47/2018/DS-PT dated March 6, 2018, by the People’s Court of Binh Duong Province.
42. Reinaldo P. Franva et al. Data Privacy in Healthcare in the Current Age. Taylor & Francis Group 2021: 24.
43. Precedent No. 22/2018/AL regarding non-violation of the duty to disclose medical conditions in life insurance contracts.
44. Joseph R. Slights. The Privacy of Medical Records: Are Patients Protected?, 18-SUM Del. Law; 22: 1.
45. Ralph Ruebner and Leslie Ann Reis. Hippocrates to HIPAA: A Foundation for a Federal Physician–Patient Privilege. 77 Temp. L. Rev; 505: 2
46. Minh, N. L., & Binh, H. T. T. Enhancing Personal Data Protection on E-Commerce Platforms: A Case Study in. Veredas Do Direito, 22(2), e223116 .
47. https://doi.org/10.18623/rvd.v22.n2.3116.
48. Nguyen Thi Phuong Cham. Application of Artificial Intelligence in the Healthcare Sector and Legal Challenges: A Study in Vietnam. Journal of Cultural Analysis and Social Change. 2025, 10(2): 1952–1962. https://doi.org/10.64753/jcasc.v10i2.1894.
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