Department of Plastic and Reconstructive Surgery, Addenbrooke's Hospital, Cambridge University Hospitals NHS Foundation Trust, Cambridge, United Kingdom.
J Plast Reconstr Aesthet Surg. 2010 Jun;63(6):e507-11. doi: 10.1016/j.bjps.2009.11.005. Epub 2009 Dec 2.
With the advent of digital medical photography, a balance between technological possibility and ethical acceptability is necessary. An understanding of patients' perception is vital in maintaining a healthy doctor-patient relationship and the avoidance of unnecessary medico-legal consequences. To explore this, an anonymous patient questionnaire survey was conducted.
Ethically approved questionnaires were distributed in our plastic surgery clinics. The questionnaires examine patients' acceptability of the use of identifiable and non-identifiable photography for different purposes including teaching, presentation, publication and internet. Patients' preferences on equipment used and who should view their images were also recorded. 205 completed questionnaires were analysed and statistically assessed.
There was a low level of acceptability to the use of personal cameras (16%) and phones (12%) compared to hospital equipment (75% p<0.001). The use of non-identifiable photographs was more acceptable for all purposes (p<0.001). Electronic distribution was less favoured (p<0.001). Patients agreed to have their photographs used by treating doctors (98%), other doctors (74%), for student teaching (82%) or patient education (88%).
Medical photography is acceptable to most patients. Appropriate consent and equipment would maximise patient compliance and clinical benefits. Our discussion with medical professional and defence organisation provide a portrait of current perspectives.
随着数字医学摄影的出现，有必要在技术可能性和道德可接受性之间取得平衡。了解患者的看法对于维护医患关系的健康以及避免不必要的医疗法律后果至关重要。为此，我们进行了一项匿名患者问卷调查。
在我们的整形诊所发放了经过伦理批准的问卷。问卷调查了患者对可识别和不可识别摄影的不同用途的接受程度，包括教学、演示、出版和互联网。还记录了患者对使用的设备以及谁可以查看其图像的偏好。分析了 205 份完成的问卷并进行了统计学评估。
与医院设备相比（75%，p<0.001），个人相机（16%）和手机（12%）的使用接受程度较低。不可识别照片的所有用途都更被接受（p<0.001）。电子分发的接受程度较低（p<0.001）。患者同意将其照片用于治疗医生（98%）、其他医生（74%）、学生教学（82%）或患者教育（88%）。
医学摄影被大多数患者接受。适当的同意和设备将最大限度地提高患者的依从性和临床获益。我们与医疗专业人员和辩护组织的讨论提供了当前观点的写照。
