Nascimento Israel Junior Borges do, Oliveira João Antonio de Queiroz, Wolff Iago Souza, Ribeiro Laura Defensor, Silva Maíra Viana Rego Souza E, Cardoso Clareci Silva, Mars Maurice, Ribeiro Antonio Luiz, Marcolino Milena Soriano
PharmB. Medical Research Specialist, Medical School and TeleHealth Center, University Hospital, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte (MG), Brazil; and Medical Research Specialist, Medical College of Wisconsin, Milwaukee, Wisconsin, United States.
PharmD. MSc. Pharmacist, Medical School and TeleHealth Center, University Hospital, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte (MG), Brazil.
Sao Paulo Med J. 2020 Jan-Feb;138(1):86-92. doi: 10.1590/1516-3180.2020.0010.R1.28032020.
Instant messaging services (IMS) are widely used in medical practice.
To evaluate perceptions regarding use and usability of IMS within clinical practice and assess users' knowledge of the ethical and legal context involved in using IMS within medical practice.
Cross-sectional study conducted in different hospitals and medical institutions in Minas Gerais, Brazil.
Medical students, medical residents, primary care physicians and specialist doctors answered an online questionnaire regarding epidemiological data, graduation level and use of IMS for medical communication. Responses were collected over a five-month period and data were assessed using the IBM-SPSS software.
484 people answered the questionnaire: 97.0% declared that they were using IMS for medical-related purposes; 42.0%, to elucidate medical concerns every week; 75.0%, to share imaging or laboratory tests and patients' medical records; and 90.5%, to participate in clinical case-study private groups. Moreover, only 37.0% declared that they had knowledge of the legislative aspects of use of smartphones within clinical practice. Differences in the frequency of discussion of medical concerns within the daily routine between student/residents and general practitioners/specialists, and in the frequency of image-sharing and patient-guiding/assistance between students and medical doctors, were observed.
Our results provide reliable proof that medical doctors and students use IMS, as a tool for clinical case discussions, interactions between healthcare providers and patients, or dissemination of knowledge and information. Nonetheless, because of limitations to the ethical and legal regulations, evidence-based discussions between authorities, academics and medical institutions are needed in order to fully achieve positive outcomes from such platforms.
即时通讯服务（IMS）在医疗实践中被广泛使用。
评估临床实践中对IMS使用和可用性的看法，并评估用户对医疗实践中使用IMS所涉及的伦理和法律背景的了解。
在巴西米纳斯吉拉斯州的不同医院和医疗机构进行的横断面研究。
医学生、住院医师、初级保健医生和专科医生回答了一份关于流行病学数据、毕业水平以及使用IMS进行医疗沟通的在线问卷。在五个月的时间内收集回复，并使用IBM-SPSS软件对数据进行评估。
484人回答了问卷：97.0%宣称他们将IMS用于医疗相关目的；42.0%每周用于阐明医疗问题；75.0%用于分享影像或实验室检查以及患者病历；90.5%用于参与临床病例研究私人小组。此外，只有37.0%宣称他们了解临床实践中使用智能手机的立法方面。观察到学生/住院医师与全科医生/专科医生在日常医疗问题讨论频率上的差异，以及学生与医生在图像分享和患者指导/协助频率上的差异。
我们的结果提供了可靠证据，证明医生和学生使用IMS作为临床病例讨论、医疗服务提供者与患者之间互动或知识与信息传播的工具。然而，由于伦理和法律法规的限制，当局、学者和医疗机构之间需要进行基于证据的讨论，以便从这些平台充分实现积极成果。
