Hargreaves P N, Peppiatt R
Lions Hospice, Northfleet, Kent, UK.
Palliat Med. 2001 Jan;15(1):49-54. doi: 10.1191/026921601678110992.
The use of a videotape recorder to analyse consultations in UK general practice is accepted, well established and has been extensively researched. The technique has potential in palliative medicine for training and the continuing assessment of communication skills as part of peer review. However, there have been no published studies on whether or not videotaping of consultations would be acceptable to a hospice population. Using a semi-structured questionnaire, we interviewed 31 patients who had agreed to have their consultation with a doctor videotaped. Although 30 (97%) did not regret having given permission and would 'definitely' or 'possibly' agree to another recording in the future, three (10%) felt that the procedure had been inadequately explained to them, six (19%) felt that they were 'possibly' or 'definitely' not given sufficient notice of the recording and one patient felt under pressure to agree to the recording. These findings suggest that if videotaping of consultations in the hospice setting is to be undertaken, more advanced notice than that usually given in general practice is required and strict safeguards should be in place to protect vulnerable patients.
在英国全科医疗中，使用录像机来分析会诊已被广泛接受、确立且得到了广泛研究。这项技术在姑息医学中具有培训以及作为同行评审一部分对沟通技巧进行持续评估的潜力。然而，关于临终关怀人群是否接受会诊录像，尚无已发表的研究。我们使用半结构化问卷，对31名同意其与医生的会诊被录像的患者进行了访谈。尽管30名患者（97%）不后悔给予许可，并且会“肯定”或“可能”同意未来再次录像，但有3名患者（10%）觉得该程序未向他们充分解释，6名患者（19%）觉得他们“可能”或“肯定”未得到关于录像的充分通知，还有1名患者觉得是在压力下同意录像的。这些发现表明，如果要在临终关怀环境中进行会诊录像，需要比全科医疗通常给予的通知更提前，并且应制定严格的保障措施来保护弱势患者。
