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When patients take the initiative to audio-record a clinical consultation
Affiliation:1. Netherlands Institute for Health Services Research (NIVEL), Utrecht, The Netherlands;2. Department of Primary and Community Care, Radboud University Medical Center, Nijmegen, The Netherlands;3. Faculty of Health Sciences, University College of Southeast Norway, Drammen, Norway;1. Department of Psychology, Washington State University, Pullman, WA, USA;2. College of Nursing, Washington State University Vancouver, Vancouver, WA, USA;1. Deutsche Krebsgesellschaft (German Cancer Society), Kuno-Fischer-Straße 8, 14057 Berlin, Germany;2. Department Health Sciences, Hamburg University of Applied Sciences (HAW Hamburg), Ulmenliet 20, 21033 Hamburg, Germany;3. School of Engineering and Computing, University of the West of Scotland (UWS), Paisley, PA1 2BE Scotland, UK;4. Nanjing University of Information Science and Technology (NUIST), Nanjing, China;5. Clinic for Internal Medicine 2, Department for Haematology and Internal Oncology, Jena University Hospital, Bachstraße 18, 07743 Jena, Germany;1. Professional Liability Service, Col·legi Oficial de Metges de Barcelona, Barcelona, Spain;2. Professional Liability and Legal Medicine Department, Universitat Autònoma de Barcelona, Barcelona, Spain;3. Medicine and Health Sciences Department, Medicine School, Universitat Internacional de Catalunya, Barcelona, Spain;4. Legal Medicine Institut of Catalonia, Catalonian Justice Department, Barcelona, Spain;5. International Risk Management Service, Société hospitalière d’assurance mutuelles - SHAM, 69372 Lyon, France;6. Public Health Department, Medicine School, Universitat de Barcelona, Barcelona, Spain;1. Yale School of Medicine & Yale School of Management, New Haven, USA;2. Department of Internal Medicine, Yale School of Medicine, New Haven, USA;1. Department of Internal Medicine, University of California, Davis, Sacramento, USA;2. University of California Davis Center for Healthcare Policy and Research, Sacramento, USA;3. Department of Family and Community Medicine, University of California Davis, Sacramento, USA;4. Department of Linguistics, University of California Davis, Davis, USA;5. Health Services Research Unit, Akershus University Hospital, Oslo, Norway
Abstract:Objectiveto get insight into healthcare professionals’ current experience with, and views on consultation audio-recordings made on patients’ initiative.Method215 Dutch healthcare professionals (123 physicians and 92 nurses) working in oncology care completed a survey inquiring their experiences and views.Results71% of the respondents had experience with the consultation audio-recordings. Healthcare professionals who are in favour of the use of audio-recordings seem to embrace the evidence-based benefits for patients of listing back to a consultation again, and mention the positive influence on their patients. Opposing arguments relate to the belief that is confusing for patients or that it increases the chance that information is misinterpreted. Also the lack of control they have over the recording (fear for misuse), uncertainty about the medico-legal status, inhibiting influence on the communication process and feeling of distrust was mentioned. For almost one quarter of respondents these arguments and concerns were reason enough not to cooperate at all (9%), to cooperate only in certain cases (4%) or led to doubts about cooperation (9%).Practice implicationsthe many concerns that exist among healthcare professionals need to be tackled in order to increase transparency, as audio-recordings are expected to be used increasingly.
Keywords:Cancer  Oncology  Consultation audio-recording  Patient-provider communication  Multimedia  Implementation
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