Using Social Networking Sites for Communicable Disease Control: Innovative Contact Tracing or Breach of Confidentiality?

Mandeville, Kate; Harris, Matthew; Thomas, H Lucy; Chow, Yimmy; Seng, Claude

doi:10.1093/phe/pht023

Cited by 18 publications

(16 citation statements)

References 5 publications

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“…; Mandeville et al . ), and five sub‐Saharan African medical schools are now using social media to maintain contact with graduates (Chen et al . ).…”

Section: Discussionmentioning

confidence: 99%

Early career retention of Malawian medical graduates: a retrospective cohort study

Mandeville

Ulaya²,

Lagarde

et al. 2014

Tropical Med Int Health

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ObjectiveThere have been longstanding concerns over Malawian doctors migrating to high‐income countries. Early career is a particularly vulnerable period. After significant policy changes, we examined the retention of recent medical graduates within Malawi and the public sector.MethodsWe obtained data on graduates between 2006 and 2012 from the University of Malawi College of Medicine and Malawi Ministry of Health. We utilised the alumni network to triangulate official data and contacted graduates directly for missing or uncertain data. Odds ratios and chi‐squared tests were employed to investigate relationships by graduation year and gender.ResultsWe traced 256 graduates, with complete information for more than 90%. Nearly 80% of registered doctors were in Malawi (141/178, 79.2%), although the odds of emigration doubled with each year after graduation (odds ratio = 1.98, 95% CI = 1.54–2.56, P < 0.0001). Of the 37 graduates outside Malawi (14.5%), 23 (62.2%) were training in South Africa under a College of Medicine sandwich programme. More than 80% of graduates were working in the public sector (185/218, 82.6%), with the odds declining by 27% for each year after graduation (odds ratio = 0.73, 95% CI = 0.61–0.86, P < 0.0001).ConclusionsWhile most doctors remain in Malawi and the public sector during their early careers, the odds of leaving both increase with time. The majority of graduates outside Malawi are training in South Africa under visa restrictions, reflecting the positive impact of postgraduate training in Malawi. Concerns over attrition from the public sector are valid and require further exploratory work.

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“…; Mandeville et al . ), and five sub‐Saharan African medical schools are now using social media to maintain contact with graduates (Chen et al . ).…”

Section: Discussionmentioning

confidence: 99%

Early career retention of Malawian medical graduates: a retrospective cohort study

Mandeville

Ulaya²,

Lagarde

et al. 2014

Tropical Med Int Health

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“…Posteriormente se recogieron otras utilidades, como por ejemplo personas allegadas a un enfermo, que también se valieron de este medio para difundir e identificar posibles contactos de enfermedades infecto-contagiosas (28). En el primer caso se justificó la actuación a favor del principio de beneficencia, y en el segundo la protección de la salud pública sobre la autonomía y confidencialidad.…”

Section: Nuevas Tecnologías Y Confidencialidad De Los Pacientes: ¿Dónunclassified

“…Sobre la base de nuestra propia experiencia y las propuestas de diversos autores, a continuación detallamos una serie de recomendaciones o posibles soluciones que deben tener en cuenta los profesionales sanitarios para utilizar dichas herramientas de manera ética y segura (6,16,28,33,(41)(42)(43):…”

Section: Recomendacionesunclassified

¿Cómo afectan los medios sociales a la confidencialidad de los pacientes? Revisión de los potenciales problemas y recomendaciones

Beltrán-Aroca

López

2017

Acta bioeth.

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Resumen: Los datos personales relativos a la salud de un individuo se consideran como datos sensibles, por lo que necesitan una "especial protección". Nos encontramos en una sociedad en la que las tecnologías de información y comunicación (TIC), especialmente en lo referente a las redes sociales, ofrecen amplias posibilidades de intercambio de información médica, sirviendo de apoyo, consejo o ayuda a los compañeros que se encuentran en el mismo ámbito o en cualquier lugar de la geografía mundial. Los avances tecnológicos en comunicación desafían el concepto de "público" y de "privado", de tal forma que la información que se comparte es casi imposible de eliminar, pudiendo llegar a propagarse rápidamente por las redes. En base a nuestra propia experiencia y a los diferentes trabajos revisados, creemos que resulta necesario capacitar a los profesionales de la salud y especialmente a los estudiantes de medicina durante su formación, para que utilicen de forma adecuada dichas herramientas, especialmente a la hora de publicar contenido sensible en lugares cuyo acceso sea público, ya que puede tener consecuencias importantes para la intimidad de las personas, tanto para los pacientes como para su propia vida personal.Palabras clave: confidencialidad, medios sociales, redes sociales, estudiantes, teléfonos móviles, secreto médico, intimidad, datos sanitarios How social media affects the confidentiality of patients? A review of potential problems and recommendationsAbstract: Personal health data are considered as sensitive information, so they need a "special protection". We are in a society where Information and Communications Technology (ICT), especially in relation to social networks, offer many opportunities for the exchange of medical information, serving as support, advice or assistance to colleagues who work in the same field or in any other place around the world. Technological advances in communication challenge the concept of "public" and "private," in a way that the shared information is almost impossible to remove, and could spread rapidly through social networks. Based on our own experience and the different papers reviewed, we believe it is necessary to train health professionals and especially medical students during their academic education to use these tools properly, especially when posting sensitive data in places of public access, as it may have important consequences for the privacy of individuals, both for patients and for their own life.Key words: confidentiality, social media, social networks, students, smartphones, medical secrecy, privacy, health data Como mídias sociais afetam a confidencialidade dos pacientes? Revisão dos potenciais problemas e recomendaçõesResumo: Os dados pessoais relativos à saúde do indivíduo são considerados dados sensíveis, por esse motivo eles necessitam de uma "proteção especial". Nos encontramos em uma sociedade em que as tecnologias de informação e comunicação (TIC), especialmente em relação às redes sociais, oferecem amplas oportunidades para a troca de informações...

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“…For example, an analysis of United States national surveillance identified which racial minorities are most likely to develop TB from recent transmission, 51 and the United Kingdom has used molecular typing prospectively since 2010 to identify outbreaks 52 and to estimate the proportion and identity of MDR-TB cases attributable to transmission 53 . Locally, such data can also be used to improve both contact investigations (which may be complemented by online social network data 54 ) and the laboratory methods used to diagnose drug-resistant TB (Box 2). Newer technologies, such as whole genome sequencing (WGS), can identify strains responsible for major outbreaks 50,55–57 , uncover highly infectious “super-spreaders” 50 , and help understand the completeness of contact investigations 58 .…”

Section: Improving Data Collection and Analysis To End Tb: Three Stepsmentioning

confidence: 99%

Data for action: collection and use of local data to end tuberculosis

et al. 2015

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Using Social Networking Sites for Communicable Disease Control: Innovative Contact Tracing or Breach of Confidentiality?

Cited by 18 publications

References 5 publications

Early career retention of Malawian medical graduates: a retrospective cohort study

Early career retention of Malawian medical graduates: a retrospective cohort study

¿Cómo afectan los medios sociales a la confidencialidad de los pacientes? Revisión de los potenciales problemas y recomendaciones

Data for action: collection and use of local data to end tuberculosis

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