{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,28]],"date-time":"2025-10-28T18:48:57Z","timestamp":1761677337979,"version":"3.37.1"},"reference-count":23,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2024,10,22]],"date-time":"2024-10-22T00:00:00Z","timestamp":1729555200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Paediatrica"],"published-print":{"date-parts":[[2025,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>Paediatricians using instant messaging phone apps for informal medical discussions poses ethical and legal risks. We filled a gap in the research, by assessing the use of apps and the possible risks.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A national, cross\u2010sectional, questionnaire study was conducted in Israel from 11 August to 20 November 2019. The frequency of informal discussions, clinical details and recommendations were compared to the paediatricians' expertise and work settings. The discussions included work and private phones, consultation with the parents of patients and advice to the paediatricians' friends and families.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The 305 paediatricians who responded had a median age of 37 (range 27\u201374) years: 42% were residents and 58% were specialists. The majority (99%) had carried out informal discussions using a messaging app in the last week and 65% had used them for 1\u20135 discussions. Specialists were more likely to use apps for more than 10 discussions per week than residents (24% vs. 5%, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001) and recommend treatment via apps (35% vs. 22%, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001). A third failed to provide disclaimers about the risks of app\u2010based discussions.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Using instant messaging apps for informal medical discussions was common, but ethical and legal aspects were not always fully considered.<\/jats:p><\/jats:sec>","DOI":"10.1111\/apa.17470","type":"journal-article","created":{"date-parts":[[2024,10,22]],"date-time":"2024-10-22T11:08:24Z","timestamp":1729595304000},"page":"562-568","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["National survey found that paediatricians frequently used messaging apps to hold informal consultations with parents and patients"],"prefix":"10.1111","volume":"114","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5752-2908","authenticated-orcid":false,"given":"Yonatan","family":"Goffer","sequence":"first","affiliation":[{"name":"Paediatrics B Schneider Children's Medical Centre of Israel  Petach Tikva Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5841-6664","authenticated-orcid":false,"given":"Yoel","family":"Levinsky","sequence":"additional","affiliation":[{"name":"Paediatrics B Schneider Children's Medical Centre of Israel  Petach Tikva Israel"},{"name":"Faculty of Medicine and Health Sciences Tel\u2010Aviv University  Tel\u2010Aviv Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6347-7891","authenticated-orcid":false,"given":"Daniel","family":"Landau","sequence":"additional","affiliation":[{"name":"Paediatrics B Schneider Children's Medical Centre of Israel  Petach Tikva Israel"},{"name":"Faculty of Medicine and Health Sciences Tel\u2010Aviv University  Tel\u2010Aviv Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Itay","family":"Berger","sequence":"additional","affiliation":[{"name":"Faculty of Medicine and Health Sciences Tel\u2010Aviv University  Tel\u2010Aviv Israel"},{"name":"Paediatrics A Schneider Children's Medical Centre of Israel  Petach Tikva Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yoav","family":"Vardy","sequence":"additional","affiliation":[{"name":"Paediatrics B Schneider Children's Medical Centre of Israel  Petach Tikva Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gabriel","family":"Chodick","sequence":"additional","affiliation":[{"name":"Faculty of Medicine and Health Sciences Tel\u2010Aviv University  Tel\u2010Aviv Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexander","family":"Lowenthal","sequence":"additional","affiliation":[{"name":"Paediatric Heart Institute Schneider Children's Medical Centre of Israel  Petach Tikva Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Liat","family":"Ashkenazi\u2010Hoffnung","sequence":"additional","affiliation":[{"name":"Faculty of Medicine and Health Sciences Tel\u2010Aviv University  Tel\u2010Aviv Israel"},{"name":"Day Care Hospitalization Schneider Children's Medical Centre of Israel  Petach Tikva Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5567-4083","authenticated-orcid":false,"given":"Oded","family":"Scheuerman","sequence":"additional","affiliation":[{"name":"Paediatrics B Schneider Children's Medical Centre of Israel  Petach Tikva Israel"},{"name":"Faculty of Medicine and Health Sciences Tel\u2010Aviv University  Tel\u2010Aviv Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,10,22]]},"reference":[{"key":"e_1_2_9_2_1","unstructured":"KempS.Digital 2019: global digital overview. Hootsuite and we are social. Updated 31 January 2019. Retrieved February 2 2021.https:\/\/datareportal.com\/reports\/digital\u20102019\u2010global\u2010digital\u2010overview"},{"key":"e_1_2_9_3_1","first-page":"77","article-title":"Security and other ethical concerns of instant messaging in healthcare","volume":"254","author":"Morris C","year":"2018","journal-title":"Stud Health Technol Inform"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.2196\/11147"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/jpc.13467"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13584-021-00468-8"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.2196\/22696"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.3390\/fi8030037"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.2196\/medinform.9526"},{"key":"e_1_2_9_10_1","unstructured":"VidalE.The day WhatsApp changed from a messaging app to a lifesaver in war.Calcalistech.com.2023. 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