Tracy Erin E, Bortoletto Pietro
Vincent Obstetrics and Gynecology, Massachusetts General Hospital, Boston, Massachusetts.
Obstet Gynecol. 2016 Apr;127(4):758-762. doi: 10.1097/AOG.0000000000001335.
The dissemination of information online and resultant public discourse through social media and other online channels has influenced the practice of medicine in dramatic ways. Physicians have historically worked to develop new techniques and devices for the benefit of their patients. It is only a more recent phenomenon, however, that these tools are either removed or their use is curtailed largely driven by anecdotal reports; passionate, vocal, often media-savvy advocates; and plaintiff attorneys. The use of power morcellation, hysteroscopic tubal sterilization, and mesh in urogynecologic procedures all have been victims of these societal pressures. It is important for health care professionals to be involved in the debate to ensure that public outcry does not unduly influence what we, as clinicians, are able to safely offer our patients. By being better advocates for our field, our instruments, and our patients, we can ensure medical decision-making is driven by good science and not public fervor.
通过社交媒体和其他在线渠道进行的信息传播以及由此引发的公众讨论，已经以戏剧性的方式影响了医学实践。从历史上看，医生一直致力于开发新技术和新设备，以造福患者。然而，这些工具被移除或其使用受到限制，这只是最近才出现的现象，主要是由轶事报道、热情、直言不讳且往往精通媒体的倡导者以及原告律师推动的。在妇科泌尿手术中使用动力粉碎术、宫腔镜输卵管绝育术和网片都成为了这些社会压力的受害者。医疗保健专业人员参与这场辩论很重要，以确保公众的强烈抗议不会过度影响我们作为临床医生能够安全地为患者提供的治疗。通过更好地为我们的领域、器械和患者发声，我们可以确保医疗决策由可靠的科学而非公众热情驱动。
