Internal Ward B, Bnai-Zion Medical Center, Faculty of Medicine, Technion-Israel Institute of Technology, 47 Golomb St., Haifa, Israel.
The School of Public Health, International Center for Health, Law and Ethics, University of Haifa, Haifa, Israel; Bnai-Zion Medical Center, Haifa, Israel.
Can J Gastroenterol Hepatol. 2016;2016:2493470. doi: 10.1155/2016/2493470. Epub 2016 Nov 23.
Conducting a survey study of a large number of patients and gastroenterologists aimed at identifying relevant predictors of interest in digital recording and documentation (DRD) of endoscopic procedures. Outpatients presenting to the endoscopy unit at our institution for an endoscopy examination were anonymously surveyed, regarding their views and opinions of a possible recording of the procedure. A parallel survey for gastroenterologists was conducted. 417 patients and 62 gastroenterologists participated in two parallel surveys regarding DRD of endoscopic procedures. 66.4% of the patients expressed interest in digital documentation of their endoscopic procedure, with 90.5% of them requesting a copy. 43.6% of the physicians supported digital recording while 27.4% opposed it, with 48.4% opposing to making a copy of the recording available to the patient. No sociodemographic or background factors predicted patient's interest in DRD. 66% of the physicians reported having recording facilities in their institutions, but only 43.6% of them stated performing recording. Having institutional guidelines for DRD was found to be the only significant predictor for routine recording. Our study exposes patients' positive views of digital recording and documentation of endoscopic procedures. In contrast, physicians appear to be much more reluctant towards DRD and are centrally motivated by legal concerns when opposing DRD, as well as when supporting it.
对大量患者和胃肠病学家进行调查研究，旨在确定对内镜检查数字记录和文件（DRD）感兴趣的相关预测因素。我们机构内镜检查单元的门诊患者接受了匿名调查，了解他们对可能记录该程序的看法和意见。同时对胃肠病学家进行了平行调查。417 名患者和 62 名胃肠病学家参加了关于内镜检查程序的 DRD 的两项平行调查。66.4%的患者对内镜程序的数字文件记录表示感兴趣，其中 90.5%的患者要求获得副本。43.6%的医生支持数字记录，而 27.4%的医生反对，48.4%的医生反对将记录的副本提供给患者。没有社会人口统计学或背景因素可以预测患者对 DRD 的兴趣。66%的医生报告其机构有记录设备，但只有 43.6%的医生表示进行记录。发现有机构的 DRD 指南是常规记录的唯一重要预测因素。我们的研究揭示了患者对内镜检查数字记录和文件的积极看法。相比之下，医生似乎对 DRD 更为抵触，当反对或支持 DRD 时，主要受到法律问题的影响。
