Subscribe to RSS
DOI: 10.1055/s-0040-1701981
Ethical Considerations for Participatory Health through Social Media: Healthcare Workforce and Policy Maker Perspectives
Contribution of the IMIA Participatory Health and Social Media Working GroupPublication History
Publication Date:
17 April 2020 (online)
Summary
Objectives: To identify the different ethical issues that should be considered in participatory health through social media from different stakeholder perspectives (i.e., patients/service users, health professionals, health information technology (If) professionals, and policy makers) in any healthcare context.
Methods: We implemented a two-round survey composed of open ended questions in the first round, aggregated into a list of ethical issues rated for importance by participants in the second round, to generate a ranked list of possible ethical issues in participatory health based on healthcare professionals’ and policy makers’ opinions on both their own point of view and their beliefs for other stakeholders’ perspectives.
Results: Twenty-six individuals responded in the first round of the survey. Multiple ethical issues were identified for each perspective. Data privacy, data security, and digital literacy were common themes in all perspectives. Thirty-three individuals completed the second round of the survey. Data privacy and data security were ranked among the three most important ethical issues in all perspectives. Quality assurance was the most important issue from the healthcare professionals’ perspective and the second most important issue from the patients’ perspective. Data privacy was the most important consideration for patients/service users. Digital literacy was ranked as the fourth most important issue, except for policy makers’ perspective.
Conclusions: Different stakeholders’ opinions fairly agreed that there are common ethical issues that should be considered across the four groups (patients, healthcare professionals, health IT professionals, policy makers) such as data privacy, security, and quality assurance.
Keywords
Social media - ethical issues - clinical ethics - patient-centered care - patient participation-
References
- 1 deBronkart D. From patient centred to people powered: autonomy on the rise. BMJ [Internet] 2015 Feb 10 [cited 2019 Nov 28];350:h148. Available from: http://www.ncbi.nlm.nih.gov/pubmed/25670184
- 2 Finset A. Patient Participation, Engagement and Activation: Increased emphasis on the role of patients in healthcare. Patient Educ Couns 2017; Jul 1 100 (07) 1245-6
- 3 Millenson ML. When “patient centred” is no longer enough: The challenge of collaborative health: An essay by Michael L Millenson. BMJ 2017; 358
- 4 Eysenbach G. Medicine 2.0: Social networking, collaboration, participation, apomediation, and openness. J Med Internet Res 2008; 10 (03) e22
- 5 Grajales FJ, Sheps S, Ho K, Novak-Lauscher H, Eysenbach G. Social media: A review and tutorial of applications in medicine and health care. J Med Internet Res 2014; 16 (02) e13
- 6 Hazzam J, Lahrech A. Health care professionals’ social media behavior and the underlying factors of social media adoption and use: Quantitative study. J Med Internet Res 2018 Nov 1 20. (11).
- 7 Merolli M, Gray K, Martin-Sanchez F, Mantopoulos S, Hogg M. Using Social Media While Waiting in Pain: A Clinical 12-Week Longitudinal Pilot Study. JMIR Res Protoc 2015; Aug 7 4 (03) e101
- 8 Moorhead SA, Hazlett DE, Harrison L, Carroll JK, Irwin A, Hoving C. A new dimension ofhealth care: Systematic review of the uses, benefits, and limitations of social media for health communication. J Med Internet Res 2013; 15 (04) e85
- 9 Carlquist E, Lee NE, Shalin SC, Goodman M, Gardner JM. Dermatopathology and social media a survey of 131 medical professionals from 29 countries. Arch Pathol Lab Med 2018; Feb 1 142 (02) 184-90
- 10 Gabarron E, Wynn R. Use of social media for sexual health promotion: A scoping review. Glob Health Action 2016 9. (1)
- 11 Gabarron E, Arsand E, Wynn R. Social media use in interventions for diabetes: Rapid evidence-based review. J Med Internet Res 2018; (08) e10303
- 12 Collier N, Son NT, Nguyen NM. OMG U got flu? Analysis of shared health messages for bio-surveillance. J Biomed Semantics 2011 Oct 6;2(5)
- 13 Swan M. Crowdsourced health research studies: An important emerging complement to clinical trials in the public health research ecosystem. J Med Internet Res 2012; 14 (02) 186-98
- 14 Nikolic A, Wickramasinghe N, Claydon-Platt D, Balakrishnan V, Smart P. The use of communication apps by medical staff in the australian health care system: Survey study on prevalence and use. J Med Internet Res 2018; 6 (01) e9
- 15 Bender JL, Cyr AB, Arbuckle L, Ferris LE. Ethics and privacy implications of using the internet and social media to recruit participants for health research: A privacy-by-design framework for online recruitment. J Med Internet Res 2017 Apr 1;19(4)
- 16 Denecke K, Gabarron E, Grainger R, Konstantinidis ST, Lau A, Rivera-Romero O. et al. Artificial Intelligence for Participatory Health: Applications, Impact, and Future Implications. Yearb Med Inform 2019; 165-73
- 17 Rala M, Carson NJ, DeJong SM. Adolescents and the Internet: What Mental Health Clinicians Need to Know. Curr Psychiatry Rep 2014; 16 (09) 472
- 18 Golder S, Scantlebury A, Christmas H. Understanding Public Attitudes Toward Researchers Using Social Media for Detecting and Monitoring Adverse Events Data: Multi Methods Study. J Med Internet Res 2019; Aug 29 21 (08) e7081
- 19 Rippen H. Risk A; e-Health Ethics Initiative. e-Health Code of Ethics (May 24). J Med Internet Res 2000; 2 (02) e9
- 20 European Union (Communities OJE). Regulation 2016/679 of the European parliament and the Council of the European Union; 2016
- 21 Marziali E, Serafini JMD, McCleary L. A Systematic Review of Practice Standards and Research Ethics in Technology-Based Home Health Care Intervention Programs for Older Adults. J Aging Health [Internet] 2005; Dec 30 [cited 2019 Nov 28]; 17 (06) 679-96 . Available from: http://journals.sagepub.com/doi/10.1177/0898264305281100
- 22 Maher NA, Senders JT, Hulsbergen AFC, Lamba N, Parker M, Onnela JP. et al. Passive data collection and use in healthcare: A systematic review of ethical issues. Int J Med Inform 2019; 129: 242-7
- 23 Brown J, Ryan C, Harris A. How doctors view and use social media: A national survey. J Med Internet Res 2014 Dec 1;16(12)
- 24 Kleinsman J, Buckley S. Facebook Study: A Little Bit Unethical But Worth It?. J Bioeth Inq 2015; Jun 1 12 (02) 179-82
- 25 Esteve A. The business of personal data: Google, Facebook, and privacy issues in the EU and the USA. Int Data Priv Law 2017; 7 (01) 36-47
- 26 Chretien KC, Kind T. Social media and clinical care: Ethical, professional, and social implications. Circulation 2013; Apr 2 127 (13) 1413-21
- 27 Horvitz E, Mulligan D. Data, privacy, and the greater good. Science 2015; Jul 17 349 6245 253-5
- 28 Denecke K, Bamidis P, Bond C, Gabarron E, Househ M, Lau AYS. et al. Ethical Issues of Social Media Usage in Healthcare. Yearb Med Inform 2015; 137-17
- 29 Terrasse M, Gorin M, Sisti D. Social Media, E-Health, and Medical Ethics. Hastings Cent Rep [Internet] 2019; Jan [cited 2019 Nov 28]; 49 (01) 24-33 . Available from: http://doi.wiley.com/10.1002/hast.975
- 30 Azer SA. Social media channels in health care research and rising ethical issues. AMA J Ethics 2017; 19 (11) 1061-9
- 31 Denecke K. Ethical aspects of using medical social media in healthcare applications. Stud Health Technol Inform 2014; 198: 55-62
- 32 Broniatowski DA, Jamison AM, Qi S, AlKulaib L, Chen T, Benton A. et al. Weaponized Health Communication: Twitter Bots and Russian Trolls Amplify the Vaccine Debate. Am J Public Health [Internet] 2018; Oct 1 [cited 2020 Feb 27]; 108 (10) 1378-84 . Available from: http://www.ncbi.nlm.nih.gov/pubmed/30138075
- 33 Syed-Abdul S, Fernandez-Luque L, Jian WS, Li YC, Crain S, Hsu MH. et al. Misleading health-related information promoted through video-based social media: Anorexia on youtube. J Med Internet Res 2013 Feb;15(2).
- 34 Al Khaja KAJ, AlKhaja AK, Sequeira RP. Drug information, misinformation, and disinformation on social media: a content analysis study. J Public Health Policy [Internet] 2018; Aug 1 [cited 2020 Feb 27]; 39 (03) 343-57 . Available from: http://www.ncbi.nlm.nih.gov/pubmed/29795521
- 35 De Angelis G, Wells GA, Davies B, King J, Shallwani SM, McEwan J. et al. The use of social media among health professionals to facilitate chronic disease self-management with their patients: A systematic review. Digit Heal [Internet] 2018 Jan 3 [cited 2020 Feb 27];4:205520761877141. Available from: http://journals.sagepub.com/doi/10.1177/2055207618771416
- 36 Greaves F, Ramirez-Cano D, Millett C, Darzi A, Donaldson L. Harnessing the cloud of patient experience: Using social media to detect poor quality healthcare. BMJ Qual Saf 2013; 22 (03) 251-5
- 37 Househ M, Borycki E, Kushniruk A. Empowering patients through social media: the benefits and challenges. Health Informatics J [Internet] 2014; Mar 18 [cited 2020 Feb 27]; 20 (01) 50-8 . Available from: http://www.ncbi.nlm.nih.gov/pubmed/24550564
- 38 Kotsios A, Magnani M, Rossi L, Shklovski I, Vega D. An Analysis of the Consequences of the General Data Protection Regulation (GDPR) on Social Network Research. . 2019 Mar 7 [cited 2019 Nov 28]; Available from: http://arxiv.org/abs/1903.03196
- 39 Pratap A, Allred R, Duffy J, Rivera D, Lee HS, Renn BN. et al. Contemporary Views of Research Participant Willingness to Participate and Share Digital Data in Biomedical Research. JAMA Netw open 2019; Nov 1 2 (11) e1915717
- 40 Staccini P, Lau AYS. Findings from 2017 on Consumer Health Informatics and Education: Health Data Access and Sharing [Internet] Yearb Med Inform 2018 [cited 2020 Feb 27]: 163-9. Available from: http://www.thieme-connect.de/DOI/DOI?10.1055/s-0038-1641218
- 41 Courbier S, Dimond R, Bros-Facer V. Share and protect our health data: An evidence based approach to rare disease patients’ perspectives on data sharing and data protection - Quantitative survey and recommendations [Internet]. Vol. 14. Orphanet J Rare Dis 2019; [cited 2020 Feb 27]; 14 (01) 175 Available from: https://ojrd.biomedcentral.com/articles/10.1186/s13023-019-1123-4
- 42 Giustini DM, Ali SM, Fraser M, Boulos MNK. Effective uses of social media in public health and medicine: a systematic review of systematic reviews. Online J Public Health Inform 2018 Sep 21 10. (2)
- 43 Song H, Zmyslinski-Seelig A, Kim J, Drent A, Victor A, Omori K. et al. Does Facebook make you lonely?: A meta analysis. Comput Human Behav [Internet] 2014; Jul [cited 2019 Nov 28]; 36: 446-52 . Available from: https://linkinghub.elsevier.com/retrieve/pii/S0747563214002209