Hawaii Administrative Rules
Title 16 - DEPARTMENT OF COMMERCE AND CONSUMER AFFAIRS
Chapter 88 - NATUROPATHS
Subchapter 11 - STANDARDS OF PRACTICE, CARE, AND ETHICS
Section 16-88-80 - Code of ethics
Universal Citation: HI Admin Rules 16-88-80
Current through February, 2024
(a) To provide protection to the general public, a naturopathic physician shall abide by the following code of ethics:
(1) Honesty: A
naturopathic physician shall conduct himself or herself in an honest manner;
shall not represent himself or herself to patients or the public in an
untruthful, misleading, or deceptive manner; and shall not engage in
advertising that is false or deceptive.
(2) Improper relationship: A naturopathic
physician shall not engage in sexual relations with a patient unless that
patient has been released from the naturopathic physician's care for at least
one year. The termination of the physician-patient relationship shall be in
writing, and the patient shall understand that the physician-patient
relationship has ended.
(3)
Privacy: A naturopathic physician shall maintain patient privacy and
confidentiality; provided that if the naturopathic physician becomes aware that
a patient is a danger to the public, the naturopathic physician shall take
reasonable steps to advise appropriate public officials or agencies of the
potential danger, within the guidelines of applicable laws.
(4) Performance: A naturopathic physician
shall perform professional tasks and responsibilities to the best of the
naturopathic physician's ability, and refrain from engaging in any behavior
that will detract from his or her ability to engage in the practice of
naturopathic medicine.
(5)
Obligation: The fundamental and primary obligation of a naturopathic physician
is to the patient, and the maintenance and improvement of the patient's health
and well-being.
(A) A naturopathic physician
shall at all times seek to employ methods of therapy that are consistent with
naturopathic medical philosophy, scientific principles and evidence, and the
naturopathic physician's training and experience, and shall provide patients
with information about these therapies and potential alternative therapies so
that the patient may give fully informed consent to the recommended
treatments.
(B) As part of the
obligation to provide care, a naturopathic physician shall use his or her best
efforts to facilitate a patient's access to high quality, safe and reliable
medicines, medical devices, and supplements.
(C) A naturopathic physician shall offer
alternative sources for obtaining the items in subparagraph (5)(B) as long as
those alternative sources do not compromise patient safety or clinical
effectiveness.
(D) The naturopathic
physician shall adequately disclose the contents of medicines or the nature and
description of treatments recommended to a patient.
(E) Furthermore, all therapies shall be
monitored by the naturopathic physician in a timely manner utilizing reliable
means in order to accurately assess the patient's response to employed
treatments.
(F) A naturopathic
physician shall only provide or recommend services that are medically necessary
or deemed to be beneficial for an individual patient.
(6) Competence: A naturopathic physician
shall maintain proficiency and competence, and be diligent in the provision and
administration of patient care.
(A) A
naturopathic physician shall recognize and exercise professional judgment
within the limits of his or her qualifications, and collaborate with others,
seek counsel, or make referrals as appropriate.
(B) When expanding the naturopathic
treatments or services provided to patients, a naturopathic physician shall
pursue the appropriate advanced education and training.
(C) A naturopathic physician shall dedicate
sufficient time to each patient in order to provide (to the best of the
naturopathic physician's ability) accurate, comprehensive, and individualized
patient assessment and treatment.
(7) Discrimination: A naturopathic physician
is free to decide whether or not to provide naturopathic medical care of a
particular person, unless confronted with a medical emergency; provided that
the naturopathic physician shall not refuse his or her best care if other
reasonable options are not available.
(A) A
naturopathic physician shall not decline to provide care for a person or
discriminate against others on the basis of race, ethnicity, creed, religion,
disability, sex, age, sexual orientation, or national origin.
(B) Once the naturopathic physician-patient
relationship has begun, the naturopathic physician shall provide care until
care is complete, the patient ends the relationship, or the naturopathic
physician has discharged the patient from care.
(C) If a naturopathic physician justifiably
desires to end the naturopathic physician-patient relationship, and if
continued medical care is appropriate, the naturopathic physician shall
document a formal referral to an appropriate health care provider.
(8) Communication: A naturopathic
physician has a duty to not only communicate effectively with a patient, but
also to educate the patient and convey relevant information in terms the
patient can understand, providing adequate opportunity for the patient to ask
questions and discuss matters related to the patient's care.
(A) A naturopathic physician shall transfer a
patient's records to another health care provider at the request of the
patient, in accordance with appropriate and applicable legal guidelines, in a
reasonable and timely fashion, and at reasonable cost.
(B) A naturopathic physician shall maintain
confidentially of all patient records unless otherwise instructed by the
patient or required by law.
(9) Conflicts of interest: If a naturopathic
physician is faced with a conflict of interest, the conflict shall be resolved
in the best interest of the patient.
(A) If a
naturopathic physician has any financial interests that may conflict with
appropriate medical care, the naturopathic physician shall disclose those
interests to the patient.
(B) A
naturopathic physician who makes written or oral public statements concerning
specific products sold by a company from which the naturopathic physician
receives compensation, or in which the naturopathic physician holds an
ownership interest, shall disclose this financial relationship in those public
statements.
(10)
Improper conduct: A naturopathic physician shall not prescribe, provide, or
seek compensation for medical services that are not specifically indicated for
an individual patient.
(11)
Influence: A naturopathic physician shall not exert influence over a patient to
undertake any action that is contrary to the patient's best interest.
(12) Accepting gifts: A naturopathic
physician shall not accept gifts from any individual or entity that are deemed
to influence the naturopathic physician's professional clinical
judgment.
(b) The failure to comply with any of the provisions of this section shall subject a licensee to discipline under chapters 436B and 455, HRS, and this chapter.
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