当我走出诊室时,一个护士把我叫到了电脑前。在MugShots.com上,我看到了我的患者年轻时的照片和她三十多年前因为持有可卡因被拘留的细节。我将眼睛从屏幕上移开,顿时有一种侵犯了患者隐私的罪恶感。后来,我帮那位患者做完了剩余的检查,没提起在互联网上发现的她的那段历史。她接下来的留院治疗并没有出任何意外。
I am tempted to prescribe that physicians should never look online for information about their patients, though I think the practice will become only more common, given doctors' — and all of our — growing dependence on technology. The more important question health care providers need to ask themselves is why we would like to.
由于我们医生对科技的依赖越来越深,在我看来,“医生谷歌患者”的现象只会越来越普遍。但是,我仍然想强调:医生们绝不应该去网络上搜索关于患者的信息。更重要的是,作为医务工作者,我们应该反思:为什么我们总想去“谷歌”那些患者。
To me, the only legitimate reason to search for a patient's online footprint is if there is a safety issue. If, for example, a patient appears to be manic or psychotic, it might be useful to investigate whether certain claims the patient makes are true. Or, if a doctor suspects a pediatric patient is being abused, it might make sense to look for evidence online. Physicians have also investigated patients on the web if they were concerned about suicide risk, or needed to contact the family of an unresponsive patient. In my state, Massachusetts, doctors can also use a specialized database to track every pharmacy a patient took controlled drugs from — an especially useful tool when drug abuse is suspected. But if the only reason a doctor searches online is to gather personal information that patients don't want to share with their physicians, then it is absolutely the wrong thing to do.
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