@文章{信息:doi/10.2196/11308，作者=“Barr, Paul J和Bonasia, Kyra和Verma, Kanak和Dannenberg, Michelle D和Yi, Cameron和Andrews, Ethan和Palm, Marisha和Cavanaugh, Kerri L和Masel, Meredith和Durand, Marie-Anne”，标题=“美国患者个人使用的录音/录像诊所访问:横断面调查”，期刊=“J Med Internet Res”，年=“2018”，月=“Sep”，日=“12”，卷=“20”，数=“9”，页=“e11308”，关键词=“audiorecording;卫生保健;卫生系统;政策;美国;背景:在美国，很少有诊所定期为病人提供门诊的录音或录像。虽然对这种做法的兴趣有所增加，但迄今为止，在美国没有关于记录诊所就诊的流行程度的数据。目的:我们的目标是:(1)确定美国患者个人使用门诊录音的流行程度，(2)评估临床医生和公众对录音的态度，以及(3)确定美国49个最大的卫生系统中是否存在指导录音实践的政策。方法:我们于2017年7月对美国临床医生(SERMO小组)和美国公众(Qualtrics小组)的互联网小组进行了2次平行横断面调查。为了确保多样化的视角，我们设定了配额，以捕获来自8个专业的临床医生。 Quotas were also applied to the public survey based on US census data (gender, race, ethnicity, and language other than English spoken at home) to approximate the US adult population. We contacted 49 of the largest health systems (by clinician number) in the United States by email and telephone to determine the existence, or absence, of policies to guide audiorecordings of clinic visits for patients' personal use. Multiple logistic regression models were used to determine factors associated with recording. Results: In total, 456 clinicians and 524 public respondents completed the surveys. More than one-quarter of clinicians (129/456, 28.3{\%}) reported that they had recorded a clinic visit for patients' personal use, while 18.7{\%} (98/524) of the public reported doing so, including 2.7{\%} (14/524) who recorded visits without the clinician's permission. Amongst clinicians who had not recorded a clinic visit, 49.5{\%} (162/327) would be willing to do so in the future, while 66.0{\%} (346/524) of the public would be willing to record in the future. Clinician specialty was associated with prior recording: specifically oncology (odds ratio [OR] 5.1, 95{\%} CI 1.9-14.9; P=.002) and physical rehabilitation (OR 3.9, 95{\%} CI 1.4-11.6; P=.01). Public respondents who were male (OR 2.11, 95{\%} CI 1.26-3.61; P=.005), younger (OR 0.73 for a 10-year increase in age, 95{\%} CI 0.60-0.89; P=.002), or spoke a language other than English at home (OR 1.99; 95{\%} CI 1.09-3.59; P=.02) were more likely to have recorded a clinic visit. None of the large health systems we contacted reported a dedicated policy; however, 2 of the 49 health systems did report an existing policy that would cover the recording of clinic visits for patient use. The perceived benefits of recording included improved patient understanding and recall. Privacy and medicolegal concerns were raised. Conclusions: Policy guidance from health systems and further examination of the impact of recordings---positive or negative---on care delivery, clinician-related outcomes, and patients' behavioral and health-related outcomes is urgently required. ", issn="1438-8871", doi="10.2196/11308", url="//www.mybigtv.com/2018/9/e11308/", url="https://doi.org/10.2196/11308", url="http://www.ncbi.nlm.nih.gov/pubmed/30209029" }