Knowledge of the use of patient images at the university

Gonçalves, Isabela Cristina de Miranda; Sachett, Jacqueline de Almeida Gonçalves; Santos, Waldeyde O. Magalhães dos; Passos, Shirley Maria de Araújo

doi:10.1590/1983-80422020283412

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RESEARCH • Rev. Bioét. 28 (3) • Jul-Sep 2020 • https://doi.org/10.1590/1983-80422020283412 copy

Knowledge of the use of patient images at the university

Authorship SCIMAGO INSTITUTIONS RANKINGS

Abstract

The use of information and communication technologies in the healthcare area has grown with technological advancements. Through an exploratory, descriptive, cross-sectional and quantitative approach, this study aimed to identify the knowledge and practice of students and professors of a public state university regarding the capture and reproduction of images from patients who have been attended by them. The research had the participation of 200 students enrolled in the dentistry, medicine and nursing courses, as well as 33 professors of these courses. The results show that they care about the ethical and legal aspects underlying the capture, handling, storage and dissemination of clinical images during the teaching and learning process.

Ethics; Legislation; Privacy; Photography

Characteristics	n	%
Sex
Male	91	45.5
Female	109	54.5
Age group
18 to 25 years	166	83.0
26 to 32 years	26	13.0
33 to 40 years	8	4.0
Course
Nursing	42	21.0
Medicine	120	60.0
Dentistry	38	19.0
Academic term
N/A	34	17.0
4th	30	15.0
5th	32	16.0
6th	23	11.5
7th	20	10.0
8th	27	13.5
9th	30	15.0
10-12th	4	2.0
Origin
Capital	96	48.0
Countryside	104	52.0

Characteristics	n	%
Sex
Male	8	24.2
Female	25	75.8
Age group
30 to 41 years	14	42.4
42 to 51 years	13	39.4
52 to 62 years	6	18.2
Course
Nursing	15	45.5
Medicine	5	15.2
Dentistry	13	39.3
Time since graduation
Less than 10 years	4	12.1
Between 10 and 20 years	15	45.5
Between 21 and 30 years	10	30.3
Between 31 and 40 years	4	12.1
Complementary formation
Specialization	4	12.1
Master’s	6	18.2
PhD	22	66.7
Post-doctoral	1	3.0

	Question	Answer	Students		Professors
	Question	Answer	n	%	n	%
Knowledge	Do you think photographing or filming someone without their prior authorization has legal implications?	Yes	193	96.5	33	100.0
		No	6	3.0	0	0.0
		I do not know	1	0.5	0	0.0
	Do you think a patient’s image should be preserved?	Yes	196	98.0	33	100.0
		No	2	1.0	0	0.0
		I do not know	2	1.0	0	0.0
	Do you know about any provisions in the Federal Constitution, the Civil Code or the Brazilian Penal Code that permit the capture and use of people’s images?	Yes	59	29.5	20	60.6
		No	101	50.5	9	27.3
		I do not know	40	20.0	4	12.1
	Are you familiar with any provisions on the capture and use of patient images in your profession’s Code of Ethics?	Yes	110	55.0	25	75.8
		No	56	28.0	6	18.2
		I do not know	34	17.0	2	6.0
Practice	Have you ever photographed a patient during your academic activities in the health services?	Yes	72	36.0	23	69.7
		No	125	62.5	10	30.3
		Does not remember	3	1.5	0	0.0
	If you answered “yes,” for what purpose?	Education	33	45.8	10	43.5
		Research	12	16.7	1	4.4
		Teaching and research	13	18.1	11	47.8
		Teaching, research and social networks	5	6.9	1	4.3
		Teaching and social networks	5	6.9	0	0.0
		Research and social networks	2	2.8	0	0.0
		Social networks	2	2.8	0	0.0
	How often have you shared footage and/or photographs?	1 time	29	40.3	8	34.8
		2 to 4 times	13	18.1	3	13.0
		More than 4 times	7	9.7	5	21.7
		I do not remember	16	22.2	6	26.1
		I have never shared footage and/or photographs	7	9.7	1	4.4
	Did you ask the patient or guardian for permission to take these images? What kind: verbal and/or written permission?*	Verbal	47	65.3	5	15.2
		Written	16	22.2	15	45.4
		Did not ask	5	6.9	3	9.1
		Blank	0	0.0	10	30.3
		I do not remember	2	2.8	0	0.0
		There was no time	2	2.8	0	0.0

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E-mail: bioetica@portalmedico.org.br

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[1] Correspondence: Isabela Cristina de Miranda Gonçalves - Av. Carvalho Leal, 1.777, Cachoeirinha CEP 69065-001. Manaus/AM, Brasil.