Should consultation recording use be a practice standard? A systematic review of the effectiveness and implementation of consultation recordings

Hack, Thomas F.; Beaver, Kinta; Schofield, Penelope

doi:10.1002/pon.4592

Cited by 36 publications

(61 citation statements)

References 47 publications

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“…The main results of this review are consistent with previous reviews among other patient populations (Pitkethly et al, 2008;Rieger et al, 2018;Tsulukidze et al, 2014;van der Meulen, Jansen, van Dulmen, Bensing, & van Weert, 2008;Watson & McKinstry, 2009). Similar to previous reviews, we have shown that the primary value of consultation recording is to increase patient satisfaction and recall.…”

Section: Discussionsupporting

confidence: 90%

“…Another concern among doctors, presumably the most important concern, is the issue of privacy and legislation. Our review has not focussed on these concerns of doctors, but the literature review of Rieger et al (2018) has provided useful recommendations to deal with medico-legal concerns. These recommendations could help to successfully implement consultation recording in clinical practice.…”

Section: Discussionmentioning

confidence: 99%

“…In addition, between 3% and 15% of patients report to have ever covertly recorded their consultation, which can undermine the doctor-patient relationship (Tsulukidze, Grande, Thompson, Rudd, & Elwyn, 2015) In order for doctors to embrace consultation recording, the value of recording for patients needs to be evaluated. Several previous reviews have investigated the effects of consultation recording (Pitkethly, MacGillivray, & Ryan, 2008;Rieger, Hack, Beaver, & Schofield, 2018;Tsulukidze, Durand, Barr, Mead, & Elwyn, 2014) and have shown that recordings increase patient satisfaction, recall, and understanding, and are useful to inform relatives. However, it is unclear whether consultation recording has similar effects on the patient group that experiences most difficulties in recalling and understanding information: older patients.…”

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confidence: 99%

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Consultation Recording: What Is the Added Value for Patients Aged 50 Years and Over? A Systematic Review

Dommershuijsen

Dedding

Bruchem-Visser

2019

Health Communication

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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.

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Section: Discussionsupporting

confidence: 90%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

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Consultation Recording: What Is the Added Value for Patients Aged 50 Years and Over? A Systematic Review

Dommershuijsen

Dedding

Bruchem-Visser

2019

Health Communication

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“…Ideally, test providers should also produce written information materials for patients that could help oncologists to explain the nature of the tests being performed as well as the results. There could be a potential value in providing the patients with the audio‐recordings of the oncological consultations in which genomic results are discussed …”

Section: Resultsmentioning

confidence: 99%

Understanding and information needs of cancer patients regarding treatment‐focused genomic testing: A systematic review

et al. 2020

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Objective: To systematically review literature exploring experiences of cancer patients regarding their understanding of treatment-focused genomic testing as well as their information needs and related themes.Methods: Six databases were searched for the original studies published in English language that explored patients' understanding of the information related to the genomic testing and its implications for treatment of cancer. The Mixed-Method Assessement Tool was used to examine the methodological quality of selected articles.Results: There were 14 studies (5 qualitative and 9 quantitative) that met inclusion and exclusion criteria. The majority of studies revealed that a considerable proportion of cancer patients lacked good undertstanding of treatment-focused genomic testing and wanted to be better informed. Some of the factors associated with poor knowledge about genomic testing were low education, older age, low income, and unemployment.The majority of people with cancer preferred face-to-face communication with their oncologists to discuss and ask questions about genomic testing and treatment. Most also wanted to receive simple, easy to understand written information about treatment-focused genomic testing.Conclusions: Genomic testing and its implications for treatment emerge as an important aspect of health care across different types of cancer. The evidence indicates that cancer patients want to understand and be well informed about treatmentfocused genomic testing in order to be part of decision-making process. Further studies addressing ways to improve cancer patients' understanding and knowledge of genomic testing are needed. K E Y W O R D S cancer, communication, genomic testing, information needs, oncology, personalized cancer treatment, precision oncology, targeted therapy, understanding

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“…While the studies do not provide a conclusive answer as to whether computers improve the physician-patient interaction or not [2,11,28], they make clear that the use of technology is growing reading or filling out medical records amounts to 25% of consultation time and covers over 40 specific activities [21]. Physicians also record their consultations in an audio or video format to make the documentation processes less interruptive for the communication with the patients, although this practice remains controversial [29]. Technologies expected to enter the consultations are double checks / clinical diagnosis decision support systems in which AI supports the physician with the interpretation of proper symptoms and treatment choice, but how they will impact the interaction with the patient remains unclear [33].…”

Section: Existing Solutionsmentioning

confidence: 99%

The Digital Transformation of Physician–Patient Consultations: Identifying Problems and Approaches to Improve Adherence

Färber¹,

Zigan²,

Dolata³

et al. 2019

Proceedings of the Annual Hawaii International Conference on System Sciences

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There is evidence for a correlation between effective physician-patient communication in consultations and improved adherence to treatment. Lack of time, limited communication training, growing administrative duties, and low recall of physicians' information and recommendations by patients are antagonists to effective physician-patient communication. In interviews with physicians, therapists, and patients, we first identify problems of current consultation practices and condense them in a problem scenario. We then use interview results to explore potential solutions, applying modern information technology such as digital medical assistants. Lastly, those potential solutions are condensed in an activity scenario that can be used for further design science research activities. This section presents an introductory "problem scenario" about current physician-patient consultations [30]. It is based on the literature analysis and interview results as described further below. Identified problems are italicized. Giovanni is 60 years old and immigrated from Italy to Switzerland 23 years ago. Since the death of his wife three years ago, he has been living alone in his small but attractive apartment in the countryside near Zurich. For three months, Giovanni has been suffering from recurring headaches. Three weeks ago, his general practitioner referred him to Dr. Smith, a neurologist. Both Giovanni and Dr. Smith remember this first consultation well. Giovanni came to the appointment rather nervously and wanted Dr. Smith to fully comprehend his stressful situation. He began to describe his illnesses, symptoms, and living conditions in detail. It took Dr. Smith much longer than planned to understand and

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Should consultation recording use be a practice standard? A systematic review of the effectiveness and implementation of consultation recordings

Abstract: Consultation recordings are valuable to patients and positively associated with patient-reported outcomes. Successful integration of consultation recording use into clinical practice requires an administratively supported, systematic approach to addressing implementation factors.

Cited by 36 publications

References 47 publications

Consultation Recording: What Is the Added Value for Patients Aged 50 Years and Over? A Systematic Review

Consultation Recording: What Is the Added Value for Patients Aged 50 Years and Over? A Systematic Review

Understanding and information needs of cancer patients regarding treatment‐focused genomic testing: A systematic review

The Digital Transformation of Physician–Patient Consultations: Identifying Problems and Approaches to Improve Adherence

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