Topf Cheyenne, Hahlweg Pola, Scholl Isabelle
Department of Medical Psychology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Sci Rep. 2025 May 16;15(1):17100. doi: 10.1038/s41598-025-01962-8.
Providing patients with audio recordings of their medical encounters, termed consultation recordings, has shown promising benefits, especially for patients with cancer. While patients favor these recordings, international research indicated that physicians have mixed feelings. To date, research specific to Germany remains limited. This study investigated German oncologists' attitudes and experiences through a nationwide cross-sectional quantitative online survey, informed by semi-structured interviews. Attitudes, prior experiences and desire for consultation recordings were assessed. Data was analyzed using descriptive statistics and subgroup analyses. Ninety-four physicians participated, with about half expressing a generally positive attitude, though overall attitudes were mixed. Expected benefits included improved patient recall and communication, while concerns centered around potential misuse of recordings, data confidentiality, and increased legal risks. Experiences were limited, with 12% reporting previous use. Fourteen percent expressed a willingness to offer recordings in future and 31% were undecided. This study highlights cautious openness among German oncologists, tempered by concerns over data security and legal implications, which may hinder adoption. This could be addressed by providing sound evidence regarding benefits and concerns, and enabling positive experiences. Further research should include feasibility testing in routine cancer care and re-evaluation of these results in representative samples and other specialties.
为患者提供其医疗问诊的录音（称为会诊录音）已显示出可观的益处，尤其是对癌症患者而言。虽然患者青睐这些录音，但国际研究表明医生对此看法不一。迄今为止，针对德国的具体研究仍然有限。本研究通过一项全国性的横断面定量在线调查，并参考半结构化访谈，调查了德国肿瘤学家的态度和经历。评估了他们对会诊录音的态度、既往经历以及需求。使用描述性统计和亚组分析对数据进行了分析。94名医生参与了调查，约一半人总体态度积极，但总体态度不一。预期的益处包括改善患者的回忆和沟通，而担忧主要集中在录音的潜在滥用、数据保密以及法律风险增加方面。经历有限，12%的人报告曾使用过。14%的人表示愿意在未来提供录音，31%的人尚未决定。本研究凸显了德国肿瘤学家虽持谨慎的开放态度，但因对数据安全和法律影响的担忧而有所缓和，这可能会阻碍会诊录音的采用。可以通过提供有关益处和担忧的可靠证据，并促成积极的体验来解决这一问题。进一步的研究应包括在常规癌症护理中进行可行性测试，并在代表性样本和其他专业中重新评估这些结果。
