Knowledge of healthcare professionals about rights of patient’s images

Caires, Bianca Rodrigues; Lopes, Maria Carolina Barbosa Teixeira; Okuno, Meiry Fernanda Pinto; Vancini-Campanharo, Cássia Regina; Batista, Ruth Ester Assayag

doi:10.1590/S1679-45082015AO3207

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Sumário

Original Article • EINSEinstein (São Paulo) 13 (2) • Apr-Jun 2015 • https://doi.org/10.1590/S1679-45082015AO3207 copy

Knowledge of healthcare professionals about rights of patient’s images

Authorship SCIMAGO INSTITUTIONS RANKINGS

Objective

To assess knowledge of healthcare professionals about capture and reproduction of images of patients in a hospital setting.

Methods

A cross-sectional and observational study among 360 healthcare professionals (nursing staff, physical therapists, and physicians), working at a teaching hospital in the city of São Paulo (SP). A questionnaire with sociodemographic information was distributed and data were correlated to capture and reproduction of images at hospitals.

Results

Of the 360 respondents, 142 had captured images of patients in the last year, and 312 reported seeing other professionals taking photographs of patients. Of the participants who captured images, 61 said they used them for studies and presentation of clinical cases, and 168 professionals reported not knowing of any legislation in the Brazilian Penal Code regarding collection and use of images.

Conclusion

There is a gap in the training of healthcare professionals regarding the use of patient´s images. It is necessary to include subjects that address this theme in the syllabus of undergraduate courses, and the healthcare organizations should regulate this issue.

Privacy; Healthcare personnel; Ethics, professional

Questions	Authorization to make images				Total n (%)
	Yes	No	Not enough time	Does not remember
	n (%)	n (%)	n (%)	n (%)
1. Did you request VERBAL authorization from the patient or guardian to make these images?	90 (61.2)	34 (23.1)	11 (7.5)	12 (8.2)	147 (100)
2. Did you request WRITTEN authorization from the patient or guardian to make these images?	16 (10.9)	109 (74.2)	14 (9.5)	8 (5.4)	147 (100)
3. Did you confirm the existence in the medical records of authorization from the patient or guardian for capturing images?	10 (6.8)	115 (78.2)	9 (6.1)	13 (8.8)	147 (100)

Questions	Knowledge of professionals			Total n (%)
	Yes	No	I do not know
	n (%)	n (%)	n (%)
1. Do you think that making images of a person without prior authorization has legal implications?	351 (97.5)	3 (0.8)	6 (1.7)	360 (100)
2. Do you think that the individual’s image should be preserved?	353 (98.1)	4 (1.1)	3 (0.8)	360 (100)
3. In the Brazilian Federal Constitution, Civil Code, and Penal Code do you know about any item that provides for the capture and use of the images of persons?	126 (35.0)	168 (46.7)	66 (18.3)	360 (100)
4. In the Code of Ethics of your profession, do you know about any legislation that provides for the capture and use of images of patients?	167 (46.4)	116 (32.2)	77 (21.4)	360 (100)

Variable	Frequency					Total	p value
Variable	Once	2-4 times	>4 times	I do not remember	I did not film and I did not photograph	Total	p value
Sex							*0.0058
Male	8	8	29	3	50	98
Female	27	36	34	7	158	262

Total	35	44	63	10	208	360

Age, years							*0.0000
≤40	35	43	61	10	174	323
≥41	0	1	2	0	34	37

Total	35	44	63	10	208	360

Profession							*0.0000
Nurse	12	18	17	1	65	113
Nursing technician/Licensed practical nursing	9	3	6	4	89	111
Physician	9	16	30	3	37	95
Physical therapist	5	7	10	2	17	41

Total	35	44	63	10	208	360

Time of professional experience, years							*0.0022
<1	4	6	9	3	42	64
1-3	14	26	33	3	56	132
3-5	5	6	6	1	25	43
>5	12	6	15	3	85	121

Total	35	44	63	10	208	360

Bond							*0.0287
[Employed under] CLT	13	11	19	4	76	123
Resident	14	28	36	4	76	158
Specializing	1	1	2	1	4	9
Approved in public contest	7	4	6	1	52	70

Total	35	44	63	10	208	360

Instituto Israelita de Ensino e Pesquisa Albert Einstein Avenida Albert Einstein, 627/701 , 05651-901 São Paulo - SP, Tel.: (55 11) 2151 0904 - São Paulo - SP - Brazil
E-mail: revista@einstein.br

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[1] Corresponding author : Maria Carolina Barbosa Teixeira Lopes – Escola Paulista de Enfermagem, Universidade Federal de São Paulo – Rua Napoleão de Barros, 754 – Vila Clementino – Zip code: 04024-002 São Paulo, SP, Brazil – Phone: (55 11) 5576-4000 – E-mail: lopes.carolina@unifesp.br