Ethics in aesthetic practice: results from a survey of medical doctors attending aesthetic medicine programs in Italy.

IF 1.7 4区 哲学 Q2 ETHICS
Andrea Margara, Francesca Arrigoni, Emanuele Bartoletti, Loredana Cavalieri, Nadia Fraone, Mario Mariotti, Nadia Tamburlin, Laura Tanzini, Gloria Trocchi, Franco Grimolizzi, Antonio Gioacchino Spagnolo
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Abstract

Background: Within a rapidly evolving digital age in which social media plays a key role, the number of aesthetic medicine procedures performed globally is increasing.

Methods: Physicians who participated in training courses in aesthetic medicine in Italy run by two different medical societies SIME (International School of Aesthetic Medicine Carlo Alberto Bartoletti Foundation) and Agorà (Post-Graduate School of Aesthetic Medicine Agorà), completed a survey (November 2023 - January 2024) to assess their viewpoints on ethics in aesthetic medicine and findings combined.

Results: Of 452 physicians, 72.6% - 88.2% strongly agreed about the importance of maintaining up-to-date aesthetic medicine knowledge, protecting patient confidentiality, appropriate patient communication, prioritizing patient care and safety, respecting patient dignity and privacy, and obtaining informed consent. Around half of the respondents strongly agreed with correlations between social media (including the use of filters, idealized photos, and the constant sharing of content for personalized feedback) and psychological dysfunctions/body dissatisfaction, and that physicians should examine patients with highly filtered photographs for warning signs and unrealistic expectations. Approximately 15.4% - 55.0% strongly agreed with the importance of focusing on the patient's best interest, not performing procedures on those with unrealistic expectations, letting patients decide who to involve in consultations, education in key ethical principles in aesthetic medicine (including patient autonomy and self-determination), submitting experimental aesthetic procedures to a territorial ethics committee, and obtaining informed consent from adolescents for their procedures (as well as their parents/caregivers). 43.0% - 52.0% strongly disagreed that it was unnecessary to communicate all treatment information to patients, hear and respect patient opinions, or involve patients in decisions. One-third of respondents reported previously encountering ethical issues for treatment.

Conclusion: In a survey of physicians focused on ethics in aesthetic medicine, most strongly agreed with key ethical principles in aesthetic medicine; however, more formal education/training was required to highlight the importance of patient autonomy and self-determination principles, involving patients in decisions, focusing on the patient's best interest, hearing/respecting patient opinion, avoiding procedures on those with unrealistic expectations, communicating all treatment aspects to patients, letting patients decide who to involve in consultations, and understanding the negative impact of social media on patients.

美学实践中的伦理:对意大利参加美学医学项目的医生的调查结果。
背景:在快速发展的数字时代,社交媒体发挥着关键作用,全球范围内进行的美容医学手术数量正在增加。方法:在意大利参加由两个不同的医学协会SIME(国际美容医学学院Carlo Alberto Bartoletti基金会)和agor(美容医学研究生院)举办的美容医学培训课程的医生完成了一项调查(2023年11月至2024年1月),评估他们对美容医学伦理学的看法和调查结果。结果:452名医生中,72.6% ~ 88.2%强烈认同保持最新美容医学知识、保护患者隐私、适当的患者沟通、优先考虑患者护理和安全、尊重患者尊严和隐私以及获得知情同意的重要性。大约一半的受访者强烈同意社交媒体(包括使用过滤器、理想化的照片和不断分享内容以获得个性化反馈)与心理功能障碍/身体不满之间的相关性,并且医生应该用高度过滤的照片检查患者,以寻找警告信号和不切实际的期望。大约15.4% - 55.0%的人强烈同意以下观点的重要性:关注患者的最大利益,不为那些有不切实际期望的人实施手术,让患者决定谁参与咨询,对美容医学的关键伦理原则进行教育(包括患者自主和自决),将实验性美容手术提交给地区伦理委员会。获得青少年(以及他们的父母/照顾者)对手术的知情同意。43.0% - 52.0%强烈反对与患者沟通所有治疗信息、听取和尊重患者意见、让患者参与决策的必要性。三分之一的受访者报告说,他们以前在治疗过程中遇到过道德问题。结论:在一项关注美容医学伦理的医生调查中,大多数医生强烈同意美容医学的关键伦理原则;然而,需要更多的正规教育/培训来强调患者自主和自决原则的重要性,让患者参与决策,关注患者的最大利益,倾听/尊重患者的意见,避免对那些不切实际的期望进行手术,与患者沟通所有治疗方面,让患者决定谁参与咨询,以及了解社交媒体对患者的负面影响。
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来源期刊
Philosophy Ethics and Humanities in Medicine
Philosophy Ethics and Humanities in Medicine Arts and Humanities-History and Philosophy of Science
CiteScore
2.70
自引率
0.00%
发文量
13
审稿时长
24 weeks
期刊介绍: Philosophy, Ethics, and Humanities in Medicine considers articles on the philosophy of medicine and biology, and on ethical aspects of clinical practice and research. Philosophy, Ethics, and Humanities in Medicine is an open access, peer-reviewed online journal that encompasses all aspects of the philosophy of medicine and biology, and the ethical aspects of clinical practice and research. It also considers papers at the intersection of medicine and humanities, including the history of medicine, that are relevant to contemporary philosophy of medicine and bioethics. Philosophy, Ethics, and Humanities in Medicine is the official publication of the Pellegrino Center for Clinical Bioethics at Georgetown University Medical Center.
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