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Background  Group medical visits ( GMV s), clinical encounters with a medical component delivered to groups of patients, have emerged as an innovative approach to potentially increasing efficiency while enhancing the quality of primary health care ( PHC ).  GMV s have created the need to pay explicit attention to patient confidentiality.    Objective  What strategies are used by providers and patients to address issues of confidentiality within  GMV s?    Design  In‐depth interviews were conducted with 34  PHC  providers and 29 patients living in nine rural communities in British Columbia, Canada. Data were analysed using interpretive thematic analysis and a relational autonomy approach.    Results  We found three main themes: (i) choosing to disclose: balancing benefits and drawbacks of  GMV s, (ii) maintaining confidentiality in  GMV s and (iii) gaining strength from interdependent relationships: patients learning from each other. Confidentiality can be addressed and was not a major concern for patients attending or providers facilitating  GMV s in these rural communities.    Discussion  Patients adopted strategies to address their own and others' concerns related to confidential health information. Providers used multiple strategies to maintain confidentiality within the group, including renegotiating what information is shared and providing examples of what information ought to be kept confidential.    Conclusions  Although  GMV s are not for all patients, a relational autonomy approach is useful in drawing attention to the context and structures which may influence their patients' ability to act autonomously. Successful delivery of  GMV s requires both patients and providers to negotiate between maintaining confidentiality and an appropriate level of disclosure.

Patient confidentiality within the context of group medical visits: is there cause for concern?