ABSTRACT
El uso de la fotografía, necesario en el ejercicio de la dermatología, conlleva unas implicaciones médico-legales y bioéticas que deben conocerse y cumplirse. Éticamente destacan los principios de autonomía y de no maleficencia. Jurídicamente deben diferenciarse 2 sustratos distintos de protección: el derecho a la propia imagen y la protección de los datos de carácter personal, donde ha habido recientemente modificaciones legislativas que condicionan la actuación ante la obtención y exhibición de fotografías. En la obtención no se plantean dudas jurídicas dado que la fotografía es un elemento más en la historia clínica del paciente, recomendándose únicamente informar al respecto. Para la exhibición docente o científica de fotografías debe distinguirse si la fotografía permite o no identificar al paciente. Solo si el paciente puede ser identificado es necesario disponer de una autorización expresa y específica para dicha exhibición. Se recomienda un uso prudente de la fotografía médica en redes sociales
Photographs are necessary in the clinical practice of dermatology, but there are ethical implications to consider. Moreover, dermatologists must be aware of and comply with certain legal requirements affecting the use of photographs. The main ethical principles are respect for patient autonomy and the physician's obligation to do no harm. The law differentiates between 2 bases for protection: one concerns the photographed person's rights over the image and the other protects personal data. Recent legislation places restrictions on taking photographs and exhibiting them. Photographs taken to be stored with a medical history have not been called into question, but the physician is recommended to inform the patient that they exist. When a photograph is exhibited for the purpose of teaching or illustrating concepts, it is necessary to determine whether or not the patient can be identified. If the answer is yes, the patient must give explicit permission. Caution should be exercised when publishing medical photographs on social media
Subject(s)
Humans , Bioethics , Photography/ethics , Photography/legislation & jurisprudence , Cell Phone/ethics , Dermatology/ethics , Dermatology/legislation & jurisprudence , Cell Phone/legislation & jurisprudence , Smartphone/ethics , Smartphone/legislation & jurisprudence , Skin DiseasesABSTRACT
Photographs are necessary in the clinical practice of dermatology, but there are ethical implications to consider. Moreover, dermatologists must be aware of and comply with certain legal requirements affecting the use of photographs. The main ethical principles are respect for patient autonomy and the physician's obligation to do no harm. The law differentiates between 2 bases for protection: one concerns the photographed person's rights over the image and the other protects personal data. Recent legislation places restrictions on taking photographs and exhibiting them. Photographs taken to be stored with a medical history have not been called into question, but the physician is recommended to inform the patient that they exist. When a photograph is exhibited for the purpose of teaching or illustrating concepts, it is necessary to determine whether or not the patient can be identified. If the answer is yes, the patient must give explicit permission. Caution should be exercised when publishing medical photographs on social media.
