RESUMO
From the beginning of medicine, the reproduction of patients' images, initially as drawings, either for didactic purposes or to share experiences, were common in medical practice. Photography greatly facilitated and generalized this practice within health teams. The images of the affected patients need the same consents and guarantees of confidentiality as any other parts of the medical record, so the importance of obtaining informed consent is highlighted. Beyond ethical aspects, professionals have to take into account the legal responsibility involved in carrying out this act.
Desde los inicios de la medicina, la reproducción de imágenes de pacientes, ya sea con fines didácticos o de compartir experiencias, fue considerada una práctica habitual en el quehacer médico. La aparición de la fotografía facilitó y generalizó enormemente esta práctica dentro de los equipos de salud. Las imágenes de los pacientes requieren el mismo consentimiento y garantías de confidencialidad que otras partes del registro médico. Se remarca la importancia del consentimiento informado. Se considera la responsabilidad legal de estos actos.
Assuntos
Confidencialidade/ética , Consentimento Livre e Esclarecido/ética , Pediatria/ética , Fotografação/ética , Argentina , Criança , Confidencialidade/legislação & jurisprudência , Humanos , Consentimento Livre e Esclarecido/legislação & jurisprudência , Fotografação/legislação & jurisprudênciaRESUMO
INTRODUCTION: The socio-demographic characterization of medical students at the Pontificia Universidad Javeriana in Cali, Colombia, was made using a survey and focus group discussion to collect information on access to the Internet, management of electronic social networks and the dissemination of photographs with patients taken during medical teaching rounds, a practice that constitutes a breach of professional medical conduct. OBJECTIVE: To identify the management of social electronic networks by students of medicine with respect to the publication of photographs with patients. MATERIALS AND METHODS: A descriptive cross-sectional study was undertaken to characterize students of medicine at the Pontificia Universidad Javeriana in Cali. Of the 423 students enrolled in January 2013, 299 participated in a survey designed with the software Cardiff TELEform®, version 10.0. Twenty students were also selected at random for a focus group discussion on the publication of photographs with patients on electronic social networks. RESULTS: Of the students surveyed, 97.6% claimed to be active users of at least one of the main electronic social networks (96.2% Facebook, 70.5% Instagram and 44.1% Twitter). Of these, 52 (17.6%) admitted having published a photograph showing patient care on at least one occasion. CONCLUSION: Most of the students had smartphones and user profiles on the main social electronic networks, on which they disseminated photographs of patients taken during teaching rounds, as well as images of various activities which could have ethical and legal implications and contravene standards of professional medical conduct.
Assuntos
Confidencialidade/ética , Fotografação/ética , Má Conduta Profissional/ética , Rede Social , Estudantes de Medicina , Adolescente , Adulto , Colômbia , Confidencialidade/legislação & jurisprudência , Estudos Transversais , Feminino , Humanos , Internet , Masculino , Fotografação/legislação & jurisprudência , Má Conduta Profissional/legislação & jurisprudência , Smartphone , Fatores Socioeconômicos , Adulto JovemRESUMO
Objective To assess knowledge of healthcare professionals about capture and reproduction of images of patients in a hospital setting. Methods A cross-sectional and observational study among 360 healthcare professionals (nursing staff, physical therapists, and physicians), working at a teaching hospital in the city of São Paulo (SP). A questionnaire with sociodemographic information was distributed and data were correlated to capture and reproduction of images at hospitals. Results Of the 360 respondents, 142 had captured images of patients in the last year, and 312 reported seeing other professionals taking photographs of patients. Of the participants who captured images, 61 said they used them for studies and presentation of clinical cases, and 168 professionals reported not knowing of any legislation in the Brazilian Penal Code regarding collection and use of images. Conclusion There is a gap in the training of healthcare professionals regarding the use of patient´s images. It is necessary to include subjects that address this theme in the syllabus of undergraduate courses, and the healthcare organizations should regulate this issue.
Assuntos
Conhecimentos, Atitudes e Prática em Saúde , Direitos do Paciente/ética , Fotografação/ética , Privacidade , Adulto , Brasil , Estudos Transversais , Feminino , Hospitais de Ensino , Humanos , Masculino , Direitos do Paciente/legislação & jurisprudência , Fotografação/educação , Inquéritos e QuestionáriosRESUMO
Este texto, fruto das observações oriundas de "micro" etnografias realizadas durante estágio de doutorado em Madri, reflete sobre a fotografia, tomada por agentes sociais distintos, de desportistas e espaços desportivos na era digital. Considerando a profusão de imagens e a facilidade de difusão via internet, questiona implicações ético-morais da captura destas e os sentidos da produção, protagonismo e performances. Sugiro haver 'gosto de class' e 'habitus' a orientar estas práticas. A apropriação da imagem alheia (de ídolos e anônimos) e a exacerbação do individualismo caracterizam este 'ethos', cujo perigo reside no uso privado e na publicização inconsequente da vida alheia.
This text, the result of observations arising from "micro-ethnographies" performed during a Doctorate's training in Madrid , reflects about photography, taken by different social agents, of athletes and sportive areas in the digital era. Considering the wealth of images and easiness of dissemination through Internet, it questions the moral-ethical implications of taking these images and the meanings of production, protagonism and performance. I suggest there is 'class taste' and 'habitus' guiding these practices. The ownership of someone else's imagine (of idols and anonymous) and the exacerbation of individualism characterize this' ethos', which danger lies in the private use and in the inconsequential advertising of other people's lives.
Este texto, es resultado de las observaciones oriundas de las "micro" etnografías realizadas durante las prácticas del doctorado en Madrid, refleja sobre la fotografía, tomada por los diferentes agentes sociales, desde los deportistas y espacios deportivos en la era digital. Teniendo en cuenta la profusión de las imágenes y la facilidad de la difusión a través del internet, puso en duda implicaciones ético-morales de la captura de estas y los sentidos de la producción, protagonismo y rendimiento. Yo sugiro haber 'gusto por la clase' y 'habitus' para orientar a estas prácticas. La apropiación de la imagen ajena (de los ídolos y anónimos), y la exacerbación del individualismo caracterizan este 'ethos', cuyo peligro reside en el uso privado y en la publicización inconsecuente de la vida ajena.