Liddell Christine, Rae Gordon, Brown Tom R M, Johnston David, Coates Vivien, Mallett John
University of Ulster, Coleraine, Northern Ireland.
Br J Gen Pract. 2004 Sep;54(506):667-72.
Providing patients with an audiotape of their medical consultation has been a relatively common practice in oncology clinics for some years. However, broader generalisability of the technique has yet to be examined.
To investigate the efficacy of providing patients with an audiotape of their consultation in a general practice setting.
Randomised controlled trial: 95 experimental participants, 85 controls.
Routine surgeries run by two general practitioners (GPs) in two different health centres.
All patients attending GP appointments were eligible for inclusion. Patients were followed up by telephone 7-10 days later.
More than half (61%) of the patients who received a tape listened to it. Among listeners, 64% rated the tape useful or very useful; 24% noticed information not heard in the consultation. Half of listeners (46%) said that their understanding of the consultation improved after listening to the tape. Half of the listeners (48%) shared the tape with others, of whom 71% found sharing helpful or very helpful. However, 21% of those who shared the information with others found this unhelpful or very unhelpful, suggesting that patients may need to be briefed on the potential risks of sharing. At follow-up a week later, it emerged that being given a tape had no effect on adherence with GPs' advice, nor on anxiety about conditions.
Providing patients with an audiotape of their GP consultation was positively rated by many patients. Although there were no detectable clinical effects at follow-up, the technique merits further evaluation in general practice.
多年来，在肿瘤诊所为患者提供医疗咨询录音带是一种相对常见的做法。然而，该技术更广泛的适用性尚未得到检验。
在全科医疗环境中研究为患者提供咨询录音带的效果。
随机对照试验：95名试验参与者，85名对照者。
由两名不同健康中心的全科医生（GP）进行的常规诊疗。
所有预约看全科医生的患者均符合纳入条件。7 - 10天后通过电话对患者进行随访。
超过一半（61%）收到录音带的患者听了录音。在听众中，64%认为录音有用或非常有用；24%注意到在咨询中未听到的信息。一半的听众（46%）表示听了录音后对咨询的理解有所提高。一半的听众（48%）与他人分享了录音带，其中71%认为分享有帮助或非常有帮助。然而，21%与他人分享信息的人认为这没有帮助或非常没有帮助，这表明可能需要向患者介绍分享的潜在风险。在一周后的随访中发现，给患者录音带对遵循全科医生的建议以及对病情的焦虑没有影响。
许多患者对为其提供全科医生咨询录音带给予了积极评价。尽管随访时未发现明显的临床效果，但该技术在全科医疗中值得进一步评估。
