Prictor Megan, Milani Nikka, Hyatt Amelia
Melbourne Law School, The University of Melbourne, 185 Pelham Street, Carlton, Vic 3053, Australia.
Department of Health Services Research, Peter MacCallum Cancer Centre, 305 Grattan Street, Melbourne, Vic 3000, Australia; and School of Medicine, Dentistry and Health Sciences, The University of Melbourne, Grattan Street, Melbourne, Vic 3010, Australia.
Aust Health Rev. 2024 Dec;49. doi: 10.1071/AH24306.
Objective Recording consultations can benefit patients and healthcare providers, but advantageous recording practices are dogged by legal concerns. In Australia, relevant laws are poorly understood. We postulate that local policies are more important than law in guiding consultation recording. This study aimed to describe the availability and content of consultation recording policy in Australian hospitals. Methods We conducted a scoping review utilising JBI methods and our previously published protocol. We collected policies from Australian hospitals (April-October 2023) about the audio/video recording of patients, providers or others within the hospital. We reported findings descriptively and analysed policies' alignment with the law. Results Of the 43 hospitals examined, 17/43 (40%) had relevant policies, 17/43 (40%) had a partial policy and 9/43 (21%) had no policy. Policies were usually difficult to find and were stricter than relevant law. Conclusions When patients want to record their appointments, it can be hard to identify relevant hospital policy. Policies generally weigh against consultation recording and are more restrictive than Australian law allows. These results indicate that healthcare services should develop clear, readily available policies on recording, balancing patients' and providers' interests.
目的 记录会诊对患者和医疗服务提供者有益，但有利的记录做法却受到法律问题的困扰。在澳大利亚，相关法律的理解程度很低。我们推测，在指导会诊记录方面，地方政策比法律更重要。本研究旨在描述澳大利亚医院会诊记录政策的可获取性和内容。方法 我们利用JBI方法和我们之前发表的方案进行了一项范围综述。我们收集了澳大利亚医院（2023年4月至10月）关于医院内患者、医疗服务提供者或其他人的音频/视频记录的政策。我们以描述性方式报告研究结果，并分析政策与法律的一致性。结果 在检查的43家医院中，17/43（40%）有相关政策，17/43（40%）有部分政策，9/43（21%）没有政策。政策通常很难找到，而且比相关法律更严格。结论 当患者想要记录他们的预约时，可能很难确定相关的医院政策。政策总体上不利于会诊记录，而且比澳大利亚法律允许的更为严格。这些结果表明，医疗服务机构应制定明确、易于获取的记录政策，平衡患者和医疗服务提供者的利益。
