全国调查发现,儿科医生经常使用信息应用程序与家长和病人进行非正式会诊。

IF 2.4 4区 医学 Q1 PEDIATRICS
Acta Paediatrica Pub Date : 2024-10-22 DOI:10.1111/apa.17470
Yonatan Goffer, Yoel Levinsky, Daniel Landau, Itay Berger, Yoav Vardy, Gabriel Chodick, Alexander Lowenthal, Liat Ashkenazi-Hoffnung, Oded Scheuerman
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引用次数: 0

摘要

目的:儿科医生在非正式医疗讨论中使用手机即时通讯应用程序会带来伦理和法律风险。我们通过评估应用程序的使用情况和可能存在的风险,填补了研究空白:2019年8月11日至11月20日,我们在以色列开展了一项全国性横断面问卷调查。将非正式讨论的频率、临床细节和建议与儿科医生的专业知识和工作环境进行了比较。讨论内容包括工作电话和私人电话、与患者父母的咨询以及向儿科医生的朋友和家人提供的建议:305名作出回复的儿科医生的年龄中位数为37岁(27-74岁):42%为住院医生,58%为专科医生。大多数人(99%)在上周使用过信息应用程序进行非正式讨论,65%的人在1-5次讨论中使用过。与住院医师相比,专科医生更有可能每周使用应用程序进行 10 次以上的讨论(24% 对 5%,p 结论:使用即时通讯应用程序进行非正式讨论的比例较高:在非正式医学讨论中使用即时通讯应用程序很常见,但伦理和法律方面的问题并不总是得到充分考虑。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
National survey found that paediatricians frequently used messaging apps to hold informal consultations with parents and patients.

Aim: Paediatricians using instant messaging phone apps for informal medical discussions poses ethical and legal risks. We filled a gap in the research, by assessing the use of apps and the possible risks.

Methods: A national, cross-sectional, questionnaire study was conducted in Israel from 11 August to 20 November 2019. The frequency of informal discussions, clinical details and recommendations were compared to the paediatricians' expertise and work settings. The discussions included work and private phones, consultation with the parents of patients and advice to the paediatricians' friends and families.

Results: The 305 paediatricians who responded had a median age of 37 (range 27-74) years: 42% were residents and 58% were specialists. The majority (99%) had carried out informal discussions using a messaging app in the last week and 65% had used them for 1-5 discussions. Specialists were more likely to use apps for more than 10 discussions per week than residents (24% vs. 5%, p < 0.001) and recommend treatment via apps (35% vs. 22%, p < 0.001). A third failed to provide disclaimers about the risks of app-based discussions.

Conclusion: Using instant messaging apps for informal medical discussions was common, but ethical and legal aspects were not always fully considered.

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来源期刊
Acta Paediatrica
Acta Paediatrica 医学-小儿科
CiteScore
6.50
自引率
5.30%
发文量
384
审稿时长
2-4 weeks
期刊介绍: Acta Paediatrica is a peer-reviewed monthly journal at the forefront of international pediatric research. It covers both clinical and experimental research in all areas of pediatrics including: neonatal medicine developmental medicine adolescent medicine child health and environment psychosomatic pediatrics child health in developing countries
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