Recording the consultation – bmj Observations

Last week it was on my wish-list and here on my blog. Now it’s in the bmj and on the agenda at a conference called “Keeping Patients in the Dark” at the Dartmouth Institute, Hanover, New Hampshire, in June 2014 (www.siipc.org).

“Imagine being able to analyze all clinical encounters. How much shared decision making was really done? What was the connection between the history, the findings, the decisions made, and the evidence used? How much assessment could be achieved by speech analysis and natural language processing?” ”Patientgate’ – digital recording changes everything’. Glyn Elwyn. BMJ 2014;348:g2078
http://www.bmj.com/content/348/bmj.g2078

Trevor Jackson discusses the article in Editor’s Choice and asks ‘would future analysis of recordings of doctor-patient consultations improve our understanding of overdiagnosis?’ with a link to
(bmj.com/bmj-series/too-much-medicine) where Tim Cundy and colleagues ‘discuss recently proposed diagnostic criteria for gestational diabetes “that triple its prevalence” (doi:10.1136/bmj.g1567). “Is it good clinical care,” they ask, “or yet another example of overdiagnosis?”
http://www.bmj.com/content/348/bmj.g1567

NB Recording the doctor/patient consultation is one of the referenced  issues raised in one of the discussion sections of ‘Nothing Personal, disturbing undercurrents in cancer care’ (see recent posts) on page 19 – ‘The benefits of taping significant consultations are now well recognised. 5,6.’

Advertisements

About bmitzi

Medical writer, author, artist. Cancer campaigner. Aiming always to improve health services and bring compassion into health care.
This entry was posted in Campaigns, patient safety and tagged , , , , , , , , . Bookmark the permalink.

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out / Change )

Twitter picture

You are commenting using your Twitter account. Log Out / Change )

Facebook photo

You are commenting using your Facebook account. Log Out / Change )

Google+ photo

You are commenting using your Google+ account. Log Out / Change )

Connecting to %s