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医学摄影在乳腺疾病管理中的伦理考量。

Ethical Considerations of Medical Photography in the Management of Breast Disease.

机构信息

Lakeland Regional Health, Lakeland, FL, USA.

Baptist Cancer Center, Memphis, TN, USA.

出版信息

Ann Surg Oncol. 2018 Oct;25(10):2801-2806. doi: 10.1245/s10434-018-6603-6. Epub 2018 Jul 5.

Abstract

BACKGROUND

Medical photography has become an important component of the evaluation and management of patients across many specialties. It is increasingly utilized in contemporary practice with modern smartphones and enhanced digital media. Photography can enhance and improve treatment plans and communication between providers and patients. Additionally, photography supplements education, research, and marketing in both print and social media. Ethical and medicolegal standards for medical photography, specifically for patients with breast disease, have not been formally developed to guide medical providers.

PURPOSE

To provide guidelines for breast care physicians using medical photography, the Ethics Committee of the American Society of Breast Surgeons presents an updated review of the literature and recommendations for ethical and practical use of photography in patient care.

METHODS

An extensive PubMed review of articles in English was performed to identify studies and articles published prior to 2018 investigating the use of medical photography in patient care and the ethics of medical photography. After review of the literature, members of the Ethics Committee convened a panel discussion to identify best practices for the use of medical photography in the breast care setting. Results of the literature and panel discussion were then incorporated to provide the content of this article.

CONCLUSION

The Ethics Committee of the American Society of Breast Surgeons acknowledges that photography of the breast has become an invaluable tool in the delivery of state-of-the-art care to our patients with breast disease, and we encourage the use of this important medium. Physicians must be well informed regarding the concerns associated with medical photography of the breast to optimize its safe and ethical use in clinical practice.

摘要

背景

医学摄影已成为许多专业领域评估和管理患者的重要组成部分。随着现代智能手机和增强型数字媒体的发展,它在当代实践中得到了越来越多的应用。摄影可以增强和改善治疗计划以及医患之间的沟通。此外,摄影在印刷和社交媒体中补充了教育、研究和营销。目前尚未针对医学摄影(特别是乳房疾病患者的医学摄影)制定医学摄影的伦理和医学法律标准,以指导医疗服务提供者。

目的

为使用医学摄影的乳房护理医师提供指导,美国乳房外科医师学会伦理委员会对文献进行了广泛的回顾,并针对在患者护理中使用摄影的伦理和实际问题提出了建议。

方法

对英文文献进行了广泛的 PubMed 综述,以确定 2018 年之前研究和发表的关于在患者护理中使用医学摄影和医学摄影伦理的文章。在对文献进行回顾后,伦理委员会成员召开了一次小组讨论,以确定在乳房护理环境中使用医学摄影的最佳实践。然后将文献和小组讨论的结果结合起来,提供本文的内容。

结论

美国乳房外科学会伦理委员会承认,乳房摄影已成为为患有乳房疾病的患者提供最先进护理的宝贵工具,我们鼓励使用这种重要的媒介。医生必须充分了解与乳房医学摄影相关的问题,以优化其在临床实践中的安全和伦理使用。

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