Good Practices in Health Advertising: ERS Manual as a reference for professionals

A Health Regulatory Authority (ERS) has made Manual of Good Practices in Health Advertising, This is a guiding document that establishes essential principles for ethical, truthful, transparent and user-centred communication.

Access here Manual of Good Practices in Health Advertising

The Manual applies to all healthcare providers and clarifies the legal framework for health advertising, with a special focus on the veracity of information, clear identification of the professional and the establishment, and the prohibition of practices that mislead users, such as guarantees of results, improper use of titles or advertising of services not provided.

In the case of physiotherapy, advertising must comply, in addition to the applicable legal framework, with the principles of the Code of Ethics of the Order of Physiotherapists, including the duty of honesty, professional competence and the primacy of the user's interests over commercial interests (Article 19, Chapter XVI).

Among the aspects covered in the manual are:

  • Mandatory identification of the healthcare professional and the organisation providing the service;
  • The need for advertising to be reliable, scientifically rigorous and distinguishable from editorial information;
  • The regulation of user testimonials, the use of “before and after” images, which must be clear and not generate false expectations.

In this context, The ERS Manual emphasises that, since the constitutionally protected right to the image of users is at stake, as well as the processing of their personal data, the dissemination of photographs or testimonies depends on the prior, free and explicit consent of users for this purpose, particularly when it comes to publicising their experience or the results of treatments.

The ERS also provides a set of Frequently Asked Questions on Health Advertising, which help to clarify the practical application of these rules and support professionals in complying with the applicable legislation:
https://www.ers.pt/pt/prestadores/perguntas-frequentes/faqs/perguntas-frequentes-sobre-publicidade-em-saude/

The Order of Physiotherapists considers this manual to be a reference tool that supports physiotherapists in adopting rigorous communication practices, contributing to the enhancement of the profession and strengthening citizens' trust in healthcare.

 See also informative video of the ERS on Health Advertising.

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Pedro Maciel Barbosa

Specialist physiotherapist at the Matosinhos Local Health Unit Sub-coordinator for Primary Health Care, Matosinhos Local Health Unit Visiting Assistant Professor at the Porto School of Health Member of the Board of Directors of the Foundation for Health - SNS Member of the General Council of the Order of Physiotherapists

Carlos Sand

Carlos Areia has been a physiotherapist since 2013, and has worked in various hospitals, clinics and clubs in both Portugal and the UK. He began his academic career at Oxford University in 2016, where he led a clinical trial comparing physiotherapy vs surgery in anterior cruciate injuries in 32 hospitals in England. In 2018 she moved to the neurosciences department, where she developed her own studies on remote monitoring of vital signs, which were implemented during the pandemic. Here he discovered his passion for data, and in 2022, he joined Digital Science as a Data Scientist. He completed his PhD earlier this year, and has more than 60 publications in journals such as The Lancet, BMJ, Cochrane, among others. He is also an honorary lecturer at Oxford Brookes University and a consultant in clinical research.

Eduardo José Brazete Carvalho Cruz

PhD in Physiotherapy from the University of Brighton, UK. Post-Doctorate in Epidemiology from the National School of Public Health at the New University of Lisbon.
Coordinator of the Studies and Planning Office of the Order of Physiotherapists. Coordinating Professor of the Physiotherapy Department of the School of Health of the Polytechnic Institute of Setúbal (ESS-IPS). President of the ESS-IPS Technical-Scientific Council. Coordinator of the Physiotherapy Department at ESS-IPS. Integrated Researcher at the Comprehensive Health Research Centre (CHRC) (a partnership between FCM-UNL, the National School of Public Health, the University of Évora, the Lisbon Institute of Global Mental Health and Santo Espírito Hospital, Terceira Island, Azores).

Sara Souto Miranda

Sara Souto Miranda has a bachelor's and master's degree in physiotherapy from the University of Aveiro, and a postgraduate qualification in adult respiratory physiotherapy from the same institution. In 2023 she completed her double doctorate in Rehabilitation Sciences/Health, Medicine and Life Sciences at the Universities of Aveiro and Maastricht (Netherlands) and is currently working as a technical-scientific advisor to the Studies and Planning Office (GEP) of the Order of Physiotherapists, and as a guest lecturer at the Piaget Institute in Vila Nova de Gaia. As a member of the Respiratory Research and Rehabilitation Laboratory at the University of Aveiro (Lab3R), she has carried out applied research in which she has assessed and treated patients with respiratory pathology, having taken part in 6 research projects. Throughout her career she has published 19 scientific articles in international peer-reviewed journals with an impact factor, 1 book chapter and more than 50 abstracts in conference proceedings. She was a research volunteer at the Ciro rehabilitation centre (Centre for expertise in chronic organ failure) in the Netherlands, and is currently a member of the Guideline Methodology Network of European Respiratory Society. She was honoured by European Lung Foundation e European Respiratory Society for carrying out patient-centred research, by the Directorate General for Higher Education with a merit grant for his master's degree, and by the Ciro Centre with a grant to support research abroad.

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