Use of patient clinical photographs requires specific attention to confidentiality and privacy. Although there are policies and procedures for publishing clinical images, there is little systematic evidence about what patients and health professionals actually think about consent for publishing clinical images. We investigated the opinions of three stakeholder groups at 3 academic healthcare institutions and 37 private practices in Croatia. The questionnaire contained patient photographs with different levels of anonymization. All three respondent groups considered that more stringent forms of permission (...) for were needed identifiable photographs than for those with higher levels of anonymization. When the entire face was presented in a photo only 33% of patients considered that written permission was required, compared with 88% of the students and 89% of the doctors. Opinions about publishing patient photographs differed among the three respondent samples: almost half of the patients thought no permission was necessary compared with one-third of students and doctors. These results show poor awareness of Croatian patients regarding the importance of written informed consent as well as unsatisfactory knowledge of health professionals about policies on the publication of patients’ data in general. In conclusion, there is a need for increasing awareness of all stakeholders to achieve better protection of patient privacy rights in research and publication. (shrink)

Instructions for authors need to be informative and regularly updated. We hypothesized that journals with a higher impact factor have more comprehensive IFA. The aim of the study was to examine whether IFA of journals indexed in the Journal Citation Reports 2013, “Medical Laboratory Technology” category, are written in accordance with the latest recommendations and whether the quality of instructions correlates with the journals’ IF. 6 out of 31 journals indexed in “Medical Laboratory Technology” category were excluded. The remaining 25 (...) journals were scored based on a set of 41 yes/no questions and divided into four groups by three authors independently. We tested the correlation between IF and total score and the difference between scores in separate question groups. The median total score was 26 [portion of positive answers 0.63 ]. There was no statistically significant correlation between a journal’s IF and the total score. IFA included recommendations concerning research ethics and manuscript preparation more extensively than recommendations concerning editorial policy and research integrity. Some policies were poorly described, for example: procedure for author’s appeal, editorial submissions, appointed body for research integrity issues. The IF of the “Medical Laboratory Technology” journals does not reflect a journals’ compliance to uniform standards. There is a need for improving editorial policies and the policies on research integrity. (shrink)