Additional Information


Case 46. Confidentiality of Subject Data


Diagnostics, Inc. is a survey research firm that has been contracted by the state Department of Public Welfare to conduct a study of day care facilities throughout its five regions. This study involves randomly selecting 100 day care centers throughout the state and conducting sites visits at each one. During the site visits, observers will utilize the Harms & Clifford rating scale to assess overall quality of care at the centers; in addition, interviews will be completed with staff at the centers to assess organizational climate along with a set of other factors that are hypothesized to be associated with quality of care. During the sampling phase of the research, the day care sites are assured the confidentiality of their information. Guaranteeing confidentiality was essential, not only for ethical reasons, but because it ensured the centers' willingness to participate in the study. Care was taken to assign ID numbers to each of the sites and to instruct the field workers on the importance of confidentiality. Their obligations as researchers to preserve the information about the sites in a confidential manner was reinforced during the training period.

During one of the site visits, one of the field workers, Palmira Munoz, observed an infant sleeping in a crib next to an open garbage can. She called Diagnostics, Inc. to inform them of this and to determine if she was obligated to report this finding to DPW. 


  1.     Was Munoz violating confidentiality by reporting her finding to Diagnostics, Inc.?
  2.     If the Department of Public Welfare has paid for the study, doesn't it really own the data? If so, then doesn't DPW have the right to see all the details related to individual sites?
  3.     Are there laws concerning the health and safety of children that require reporting to proper authorities, and therefore result in "null and void" confidentiality regulations?
         Reflect on the above questions and form your own answers before clicking the Discussion key to review the commentary provided with this case.