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Published on: November 17, 2023
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).
Psychiatrists should obtain patient consent before searching online for patient information, ensuring searches serve the patient
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.
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