“智能手机”是否应用于患者摄影？
Should 'smart phones' be used for patient photography?
作者信息
Chan Natalie, Charette Jacob, Dumestre Danielle O, Fraulin Frankie Og
机构信息
University of Calgary, Faculty of Medicine, University of Calgary, Calgary, Alberta;
Section of Plastic Surgery, Department of Surgery, University of Calgary, Calgary, Alberta;
出版信息
Plast Surg (Oakv). 2016 Spring;24(1):32-4.
BACKGROUND
Within the field of plastic surgery, clinical photography is an essential tool. 'Smart phones' are increasingly being used for photography in medical settings.
OBJECTIVE
To determine the prevalence of smart phone use for clinical photography among plastic surgeons and plastic surgery residents in Canada.
METHODS
In 2014, a survey was distributed to all members of the Canadian Society of Plastic Surgeons. The questions encompassed four main categories: smart phone use for clinical photos; storage of photos; consent process; and privacy issues. The survey participation rate was 27% (147 of 545) with 103 surgeons and 44 residents. In total, 89.1% (131 of 147) of respondents have taken photographs of patients using smart phones and 57% (74 of 130) store these photos on their phones. In addition, 73% (74 of 102) of respondents store these photos among personal photos. The majority of respondents (75% [106 of 142]) believe obtaining verbal consent before taking clinical photographs is sufficient to ensure privacy is respected. Written consent is not commonly obtained, but 83% (116 of 140) would obtain it, if it could be done more efficiently. Twenty-six percent (31 of 119) of respondents have accidentally shown a clinical photograph on their phone to friends or family. A smart phone application that incorporates a written consent process, and allows photos to be immediately stored externally, is perceived by 59% (83 of 140) to be a possible way to address these issues.
CONCLUSION
Smart phones are commonly used to obtain clinical photographs in plastic surgery. There are issues around consent process, storage of photos and privacy that need to be addressed.
背景
在整形外科领域，临床摄影是一项重要工具。“智能手机”在医疗环境中越来越多地被用于摄影。
目的
确定加拿大整形外科医生和整形外科住院医师使用智能手机进行临床摄影的普遍程度。
方法
2014年，向加拿大整形外科协会的所有成员发放了一份调查问卷。问题涵盖四个主要类别：用于临床照片的智能手机使用情况；照片存储；同意程序；以及隐私问题。调查参与率为27%（545人中的147人），其中有103名外科医生和44名住院医师。总共有89.1%（147人中的131人）的受访者使用智能手机拍摄过患者照片，57%（130人中的74人）将这些照片存储在他们的手机上。此外，73%（102人中的74人）的受访者将这些照片存储在个人照片中。大多数受访者（75%[142人中的106人]）认为在拍摄临床照片前获得口头同意足以确保隐私得到尊重。通常不会获得书面同意，但83%（140人中的116人）表示如果能更高效地获得书面同意，他们会这么做。26%（119人中的31人）的受访者曾不小心在手机上向朋友或家人展示过临床照片。59%（140人中的83人）认为一款包含书面同意程序并允许照片立即外部存储的智能手机应用程序是解决这些问题的一种可能方式。
结论
智能手机在整形外科中普遍用于获取临床照片。在同意程序、照片存储和隐私方面存在一些需要解决的问题。
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