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患者对心理健康咨询的记录:临床、伦理和法律考量

The recording of mental health consultations by patients: clinical, ethical and legal considerations.

作者信息

Hewson Thomas, Abraham Seri, Randles Nathan, Akinola Adeola, Cliff Richard, Byrne Paul, Ramkisson Roshelle

机构信息

Health Education North West School of Psychiatry, UK.

Pennine Care NHS Foundation Trust, UK.

出版信息

BJPsych Bull. 2022 Jun;46(3):133-137. doi: 10.1192/bjb.2021.89.

DOI:10.1192/bjb.2021.89
PMID:34533115
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9347263/
Abstract

The topic of patients recording healthcare consultations has been previously debated in the literature, but little consideration has been given to the risks and benefits of such recordings in the context of mental health assessments and treatment. This issue is of growing importance given the increasing use of technology in healthcare and the recent increase in online healthcare services, largely accelerated by the COVID-19 pandemic. We discuss the clinical, ethical and legal considerations relevant to audio or visual recordings of mental health consultations by patients, with reference to existing UK guidance and the inclusion of a patient's perspective.

摘要

患者记录医疗咨询这一话题此前已在文献中被讨论过,但在心理健康评估和治疗的背景下,对于此类记录的风险和益处却很少有人考虑。鉴于医疗保健领域技术使用的增加以及近期在线医疗服务的增多(很大程度上是由新冠疫情加速推动的),这个问题变得越来越重要。我们参照英国现有的指导意见并纳入患者视角,讨论与患者对心理健康咨询进行音频或视频记录相关的临床、伦理和法律考量。

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本文引用的文献

1
Telemedicine takes centre stage during COVID-19 pandemic.远程医疗在新冠疫情期间占据核心地位。
BMJ Innov. 2020 Sep 29;6(4):252-254. doi: 10.1136/bmjinnov-2020-000440. Epub 2020 Jun 12.
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Patients recording clinical encounters: a path to empowerment? Assessment by mixed methods.记录临床诊疗过程的患者:通往赋权之路?采用混合方法进行评估。
BMJ Open. 2015 Aug 11;5(8):e008566. doi: 10.1136/bmjopen-2015-008566.
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Patients covertly recording clinical encounters: threat or opportunity? A qualitative analysis of online texts.患者秘密录制临床诊疗过程:威胁还是机遇?对网络文本的定性分析
PLoS One. 2015 May 1;10(5):e0125824. doi: 10.1371/journal.pone.0125824. eCollection 2015.
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