An Audit and Survey of Informal Use of Instant Messaging for Dermatology in District Hospitals in KwaZulu-Natal, South Africa.
An Audit and Survey of Informal Use of Instant Messaging for Dermatology in District Hospitals in KwaZulu-Natal, South Africa.
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南非夸祖鲁-纳塔尔省地区医院皮肤科非正式使用即时通讯的审计和调查。
DOI：
10.3390/ijerph19127462
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发表时间：
2022-06-17
影响因子：
--
通讯作者：
Mars, Maurice
中科院分区：
文献类型：
--
作者：
Morris, Christopher;Scott, Richard E.;Mars, Maurice
背景在南非的夸祖鲁-纳塔尔（KZ-N），最近的报告表明，自发使用智能手机的情况已经发生，为偏远地区提供了专业皮肤病护理。这种非正式的使用引起了许多实际的、法律的、监管和伦理问题。瞄准评估发送给皮肤科医生的WhatsApp消息的性质和内容，以确定转诊医生的原因和满意度，他们的互动，以及他们对法律的，监管和道德要求的了解。方法.一项对转诊医生和皮肤科医生之间WhatsApp消息的回顾性研究，以及对在KZ-N地区医院工作的使用IM进行远程皮肤病学的医生的横断面调查。结果使用即时通讯（主要是WhatsApp）进行远程皮肤病学几乎是普遍的，但通常不被认为是“远程医疗”。很少有转诊医生知道南非的道德准则及其要求，也很少有人遵守这些准则，例如，规定且繁琐的同意流程以及现有的隐私和安全立法。没有使用任何安全的方法来保存WhatsApp内容的记录或数据存储。有一种愿望是使这项服务正规化。结论.基于这些发现，有人提出，一些描述的步骤，以正式使用IM的远程皮肤病学。
Background. In KwaZulu-Natal (KZ-N), South Africa, recent reports have indicated that spontaneous use of smartphones has occurred, providing access to specialist dermatological care to remote areas. This informal use has raised a number of practical, legal, regulatory, and ethical concerns. Aim. To assess the nature and content of WhatsApp messages sent to dermatologists, to determine the referring doctors’ reasons for, and satisfaction with, their interactions, as well as their knowledge of legal, regulatory, and ethical requirements. Methods. A retrospective study of WhatsApp messages between referring doctors and dermatologists, as well as a cross-sectional survey of doctors working at district hospitals in KZ-N who used IM for teledermatology. Results. Use of IM (primarily WhatsApp) for teledermatology was almost universal, but often not considered ‘telemedicine’. Few referring doctors were aware of South Africa’s ethical guidelines and their requirements, and few of those who did followed them, e.g., the stipulated and onerous consent process and existing privacy and security legislations. No secure methods for record keeping or data storage of WhatsApp content were used. A desire to formalize the service existed. Conclusions. Based upon these findings, it was proposed that a number of described steps be followed in order to formalize the use of IM for teledermatology.
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