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Ethical Considerations Regarding Internet Searches for Patient Information.

Charles C Dike1, Philip Candilis1, Barbara Kocsis1

  • 1Department of Psychiatry, Yale University School of Medicine, New Haven, Connecticut (Dike); Saint Elizabeths Hospital, Washington, D.C. (Candilis, Sidhu); Department of Psychiatry and Behavioral Sciences, University of California, Davis (Kocsis); Department of Psychiatry and Human Behavior, Warren Alpert Medical School, Brown University, Providence, Rhode Island (Recupero).

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Psychiatrists should obtain patient consent before searching online for patient information, ensuring searches serve the patient

Keywords:
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Area of Science:

  • Medical Ethics
  • Psychiatry
  • Digital Health

Background:

  • Professional organizations have addressed social media professionalism but lacked specific guidelines for online patient searches.
  • Existing American Psychiatric Association (APA) guidance on Internet searches is limited.
  • A resource document was developed to address ethical considerations for psychiatrists using Internet and social media searches for patient information.

Purpose of the Study:

  • To outline ethical considerations for psychiatrists conducting Internet and social media searches for patient information.
  • To provide guidance on the appropriate use of online searches in psychiatric practice.

Main Methods:

  • Development of a resource document by the APA Ethics Committee.
  • Adaptation of the resource document into an article for broader dissemination.

Main Results:

  • Recommends obtaining informed patient consent before conducting searches, except in emergencies.
  • Emphasizes the need for psychiatrists to examine their motivations and ensure searches benefit the patient.
  • Stresses the importance of handling obtained information with sensitivity to patient privacy and the clinician-patient relationship.

Conclusions:

  • Online searches for patient information require careful ethical consideration and should prioritize patient well-being and privacy.
  • Psychiatrists must be mindful of how these searches impact the therapeutic alliance.
  • Information from online searches can be valuable in forensic evaluations when interpreted cautiously.