@Article{信息:doi 10.2196 / / jmir。1590年，作者=“汤普森，林赛A和布莱克，埃里克和达夫，W帕特里克和天堂布莱克，妮可和萨利巴，海蒂和道森，卡拉”，标题=“社交网站上受保护的健康信息:伦理和法律考虑”，期刊=“J医学互联网Res”，年=“2011”，月=“一月”，日=“19”，卷=“13”，数=“1”，页=“e8”，关键词=“受保护的健康信息，医疗任务，互联网”，摘要=“背景:社交网站的使用在新兴医学专业人士中越来越普遍，甚至有医学院校报告称，有违纪学生被开除。使用社交网站的医疗专业人员负有独特的责任，因为他们的帖子可能侵犯患者的隐私。然而，目前尚不清楚学生和居民是否描述了受保护的健康信息，以及在何种情况或背景下描述的。目的:我们研究的目的是在医学生和住院医生的Facebook档案中记录和描述潜在的患者隐私侵犯的在线描述。方法:一个多学科研究小组于2007年和2009年在佛罗里达大学对所有医科学生和住院医生进行了两次横断面分析，以了解谁拥有Facebook主页。对于每个已识别的配置文件，我们都会手动扫描整个配置文件，以获取受保护的健康信息的任何文本或照片表示，例如人物描述、姓名、日期或程序描述。结果:几乎一半符合条件的学生和居民都有Facebook主页(49.8%{\%}，或2053人中n=1023)。有12起潜在的患者违规事件，其中学生和住院医生张贴了他们为个人提供护理的照片。 No resident or student posted any identifiable patient information or likeness in text form. Each instance occurred in developing countries on apparent medical mission trips. These portrayals increased over time (1 in the 2007 cohort; 11 in 2009; P = .03). Medical students were more likely to have these potential violations on their profiles than residents (11 vs 1, P = .04), and there was no difference by gender. Photographs included trainees interacting with identifiable patients, all children, or performing medical examinations or procedures such as vaccinations of children. Conclusions: While students and residents in this study are posting photographs that are potentially violations of patient privacy, they only seem to make this lapse in the setting of medical mission trips. Trainees need to learn to equate standards of patient privacy in all medical contexts using both legal and ethical arguments to maintain the highest professional principles. We propose three practical guidelines. First, there should be a legal resource for physicians traveling on medical mission trips such as an online list of local laws, or a telephone legal contact. Second, institutions that organize medical mission trips should plan an ethics seminar prior the departure on any trip since the legal and ethical implications may not be intuitive. Finally, at minimum, traveling physicians should apply the strictest legal precedent to any situation. ", issn="1438-8871", doi="10.2196/jmir.1590", url="//www.mybigtv.com/2011/1/e8/", url="https://doi.org/10.2196/jmir.1590", url="http://www.ncbi.nlm.nih.gov/pubmed/21247862" }