Geriatric Medicine, Erasmus University Medical Center.
Athena Institute, VU University.
Health Commun. 2021 Feb;36(2):168-178. doi: 10.1080/10410236.2019.1669270. Epub 2019 Sep 26.
This systematic review aimed to provide medical professionals with insight into beneficial and harmful effects of consultation recording for patients aged 50 years and over. This insight could enable medical professionals to decide on whether or not to promote consultation recording in their practice. The systematic literature search was performed in six databases; additional relevant articles were sought using the snowball method. Studies were included that investigated the value of consultation recording for patients aged 50 years and over. The selected studies were analyzed on affective cognitive outcomes, behavioral outcomes, and health outcomes. Twenty-five studies of both qualitative and quantitative design were included. Consultation recordings mainly improved patient satisfaction, recall, fulfillment of information needs, and decision-making. Both positive and negative effects were reported on anxiety. The recordings did not distinctly affect functional outcomes or quality of life. In conclusion, consultation recording positively influenced patients' affective cognitive and behavioral outcomes, and the negative effects of consultation recording were minor. Because of the positive effects of consultation replay, we recommend that doctors promote consultation recording among their patients of 50 years and over. However, more studies are necessary among older patients because this patient population is underrepresented in the current literature.
本系统评价旨在为 50 岁及以上患者的咨询记录的有益和有害影响提供医学专业人员的见解。这一见解可以使医疗专业人员能够决定是否在其实践中推广咨询记录。系统文献检索在六个数据库中进行; 使用滚雪球法寻找其他相关文章。研究调查了咨询记录对 50 岁及以上患者的价值。选择的研究分析了情感认知结果、行为结果和健康结果。纳入了 25 项定性和定量设计的研究。咨询记录主要提高了患者的满意度、记忆力、满足信息需求和决策能力。报告了对焦虑的积极和消极影响。录音对功能结果或生活质量没有明显影响。总之，咨询记录对患者的情感认知和行为结果产生了积极影响，咨询记录的负面影响较小。由于咨询重播的积极影响，我们建议医生在 50 岁及以上的患者中推广咨询记录。然而，由于目前文献中代表性不足，需要对老年患者进行更多的研究。
