Abbott Lisa M, Magnusson Roger S, Gibbs Emma, Smith Saxon D
Sydney Law School, University of Sydney, Sydney, New South Wales, Australia.
NHMRC Clinical Trials Centre, University of Sydney, Sydney, New South Wales, Australia.
Australas J Dermatol. 2018 May;59(2):101-107. doi: 10.1111/ajd.12583. Epub 2017 Feb 28.
Smartphones are rapidly changing the way doctors capture and communicate clinical information, particularly in highly visual specialties such as dermatology. An understanding of how and why smartphones are currently used in clinical practice is critical in order to evaluate professional and legal risks, and to formulate policies that enable safe use of mobile technologies for the maximal benefit of practitioners and patients.
Australian dermatologists and dermatology trainees were surveyed on their current practices relating to clinical smartphone use.
Of the 105 respondents, 101 provided useable results. The data show clinical smartphone use is common and frequent, with more than 50% of respondents sending and receiving images on their smartphones at least weekly. Clinical photographs were usually sent via multimedia message or email and were commonly stored on smartphones (46%). Security measures adopted to protect data were limited. There was inadequate documentation of consent for transmission of photographs and advice provided. Only 22% of respondents were aware of clear policies in their workplace regarding smartphone use, and a majority desired further education on digital image management.
Given the frequency of use and the degree of importance placed on the ability to send and receive clinical images, clinical smartphone use will persist and will likely increase over time. Current practices are insufficient to comply with professional and legal obligations, and increase practitioners' vulnerability to civil and disciplinary proceedings. Further education, realistic policies and adequate software resources are critical to ensure protection of patients, practitioners and the reputation of the dermatological profession.
智能手机正在迅速改变医生获取和交流临床信息的方式，尤其是在皮肤科等高度依赖视觉的专业领域。了解智能手机目前在临床实践中的使用方式和原因，对于评估专业和法律风险，以及制定相关政策以安全使用移动技术，从而使从业者和患者获得最大利益至关重要。
对澳大利亚皮肤科医生和皮肤科实习医生目前使用智能手机进行临床工作的情况进行了调查。
105名受访者中，101人提供了可用结果。数据显示，临床中智能手机的使用很普遍且频繁，超过50%的受访者至少每周都会在智能手机上收发图像。临床照片通常通过多媒体消息或电子邮件发送，并且通常存储在智能手机上（46%）。用于保护数据的安全措施有限。对于照片传输的同意书和所提供的建议记录不足。只有22%的受访者知道其工作场所关于智能手机使用的明确政策，并且大多数人希望接受关于数字图像管理的进一步教育。
鉴于智能手机的使用频率以及对收发临床图像能力的重视程度，临床中智能手机的使用将会持续存在，并且可能会随着时间的推移而增加。目前的做法不足以履行专业和法律义务，并且增加了从业者面临民事和纪律处分程序的风险。进一步的教育、切实可行的政策和充足的软件资源对于确保保护患者、从业者以及皮肤科专业的声誉至关重要。
