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Should consultation recording use be a practice standard? A systematic review of the effectiveness and implementation of consultation recordings
Author(s) -
Rieger Kendra L.,
Hack Thomas F.,
Beaver Kinta,
Schofield Penelope
Publication year - 2018
Publication title -
psycho‐oncology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.41
H-Index - 137
eISSN - 1099-1611
pISSN - 1057-9249
DOI - 10.1002/pon.4592
Subject(s) - systematic review , medicine , anxiety , recall , inclusion (mineral) , medline , randomized controlled trial , health care , psychology , family medicine , psychiatry , social psychology , surgery , political science , law , economics , cognitive psychology , economic growth
Abstract Objective To conduct a systematic review of the effectiveness of consultation recordings and identify factors contributing to their successful implementation in health‐care settings. Methods A systematic review was conducted for quantitative studies examining the effectiveness of consultation recordings in health care. Two independent reviewers assessed the relevance and quality of retrieved quantitative studies by using standardized criteria. Study findings were examined to determine consultation recording effectiveness and to identify barriers and facilitators to implementation. A supplementary review of qualitative evidence was performed to further explicate implementation factors. Results Of the 3373 articles retrieved in the quantitative search, 26 satisfied the standardized inclusion criteria (12 randomized controlled trials, 1 quasi‐experiment, and 13 cross‐sectional studies). Most patients found consultation recordings beneficial. Statistically significant evidentiary support was found for the beneficial impact of consultation recordings on the following patient reported outcomes: knowledge, perception of being informed, information recall, decision‐making factors, anxiety, and depression. Implementation barriers included strength of evidence concerns, patient distress, impact of the recording on consultation quality, clinic procedures, medico‐legal issues, and resource costs. Facilitators included comfort with being recorded, clinical champions, legal strategies, efficient recording procedures, and a positive consultation recording experience. Conclusions 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.