Krug Bertwin, Colliers Annelies, Matthys Jan, Anthierens Sibyl, Philips Hilde, Damen Jorn, Coenen Samuel, Remmen Roy
a Faculty of Medicine and Health Sciences, Department of Primary and Interdisciplinary Care (ELIZA) - Centre for General Practice (CHA) , University of Antwerp - Campus Drie Eiken , Antwerp , Belgium.
b Department of Family Medicine and Primary Healthcare , University of Ghent - UZ Gent , Ghent , Belgium.
Acta Clin Belg. 2019 Apr;74(2):65-69. doi: 10.1080/17843286.2018.1459231. Epub 2018 Apr 2.
Background Video-recordings of consultations are used by general practitioner (GP) trainees to enable reflection on aspects of knowledge, skills and attitudes. Typically, these recordings are made during office hours in general practice, but little is known about using video-recording during out of hours (OOH) care, which is an important and distinct part of a GP's work. To be able to record consultations during OOH care (i.e. at the emergency department (ED) and at the General Practitioner Cooperative (GPC)), patients must be willing to cooperate and give informed consent. Therefore, it was of interest to investigate potential barriers in these OOH settings. Methods A questionnaire on demographics and attitudes regarding consent was administered to patients and physicians at the ED and at the GPC in Sint-Niklaas, Belgium. Results A total of 346 questionnaires were completed, 23 by physicians and 323 by patients. A majority of the patients (225/286 (79%)) would consent to video-recording the consultation, without physical examination. Almost all physicians (21/23) would agree to participate. Overall, 85% (260/323) of the patients agree when only the doctor was being recorded. Patients were neutral in recording in 79% (88/224) at the GPC and 57% (56/99) at the ED. Shyness or embarrassment was present in 32% (71/224), and 28% (28/99) at the GPC and ED, respectively. We did not find any significant differences in giving consent or feelings between patients at the GPC and ED. Conclusion A vast majority of both patients and physicians would consent to video-recording their consultation in OOH primary care settings (GPC and ED), with possible concerns about privacy, shame and discomfort.
背景 全科医生（GP）实习生使用会诊视频记录来反思知识、技能和态度等方面。通常，这些记录是在全科医疗的办公时间进行的，但对于在非工作时间（OOH）护理期间使用视频记录的情况知之甚少，而这是全科医生工作的一个重要且独特的部分。为了能够在非工作时间护理期间（即在急诊科（ED）和全科医生合作社（GPC））记录会诊，患者必须愿意合作并给予知情同意。因此，研究这些非工作时间环境中的潜在障碍很有意义。方法 对比利时圣尼古拉斯的急诊科和全科医生合作社的患者和医生进行了关于人口统计学和同意态度的问卷调查。结果 共完成了346份问卷，其中医生完成23份，患者完成323份。大多数患者（225/286（79%））会同意在不进行体格检查的情况下对会诊进行视频记录。几乎所有医生（21/23）都同意参与。总体而言，当只记录医生时，85%（260/323）的患者表示同意。在全科医生合作社，79%（88/224）的患者对记录持中立态度；在急诊科，这一比例为57%（56/99）。在全科医生合作社和急诊科，分别有32%（71/224）和28%（28/99）的患者表示害羞或尴尬。我们没有发现全科医生合作社和急诊科的患者在同意与否或感受方面存在任何显著差异。结论 在非工作时间基层医疗环境（全科医生合作社和急诊科）中，绝大多数患者和医生都同意对他们的会诊进行视频记录，但可能会担心隐私、羞耻和不适等问题。
