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当患者主动对临床咨询进行录音时。

When patients take the initiative to audio-record a clinical consultation.

机构信息

Netherlands Institute for Health Services Research (NIVEL), Utrecht, The Netherlands.

Netherlands Institute for Health Services Research (NIVEL), Utrecht, The Netherlands.

出版信息

Patient Educ Couns. 2017 Aug;100(8):1552-1557. doi: 10.1016/j.pec.2017.03.001. Epub 2017 Mar 6.

DOI:10.1016/j.pec.2017.03.001
PMID:28302340
Abstract

OBJECTIVE

to get insight into healthcare professionals' current experience with, and views on consultation audio-recordings made on patients' initiative.

METHOD

215 Dutch healthcare professionals (123 physicians and 92 nurses) working in oncology care completed a survey inquiring their experiences and views.

RESULTS

71% 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 IMPLICATIONS

the 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.

摘要

目的

了解医疗保健专业人员目前对患者主动要求录制的咨询录音的体验和看法。

方法

215 名在肿瘤护理领域工作的荷兰医疗保健专业人员(123 名医生和 92 名护士)完成了一项调查,询问他们的经验和看法。

结果

71%的受访者有过咨询录音的经验。赞成使用录音的医疗保健专业人员似乎接受了为患者再次列出咨询内容的循证益处,并提到了对患者的积极影响。反对的观点涉及到患者感到困惑或信息被误解的可能性增加的担忧。此外,他们还提到对录音缺乏控制(担心滥用)、对法律地位的不确定性、对沟通过程的抑制影响以及不信任感。对于近四分之一的受访者来说,这些观点和担忧足以成为他们完全不合作(9%)、仅在某些情况下合作(4%)或对合作产生怀疑(9%)的原因。

实践意义

为了提高透明度,需要解决医疗保健专业人员存在的诸多担忧,因为预计会越来越多地使用录音。

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