title: When patients take the initiative to audio-record a clinical consultation.
abstract: OBJECTIVE
  to get insight into healthcare professionals' current experience with, and views on consultation audio-recordings made on patients' initiative.
  
  
  METHODS
  215 Dutch healthcare professionals (123 physicians and 92 nurses) working in oncology care completed a survey inquiring their experiences and views.
  
  
  RESULTS
  71% of the respondents had experience with the consultation audio-recordings. Healthcare professionals who are in favour of the use of audio-recordings seem to embrace the evidence-based benefits for patients of listing back to a consultation again, and mention the positive influence on their patients. Opposing arguments relate to the belief that is confusing for patients or that it increases the chance that information is misinterpreted. Also the lack of control they have over the recording (fear for misuse), uncertainty about the medico-legal status, inhibiting influence on the communication process and feeling of distrust was mentioned. For almost one quarter of respondents these arguments and concerns were reason enough not to cooperate at all (9%), to cooperate only in certain cases (4%) or led to doubts about cooperation (9%).
  
  
  CONCLUSIONS
  the many concerns that exist among healthcare professionals need to be tackled in order to increase transparency, as audio-recordings are expected to be used increasingly.
authors.affiliation: Netherlands Institute for Health Services Research (NIVEL), Utrecht, The Netherlands. Electronic address: i.vanbruinessen@nivel.nl.
authors.forename: Inge Renske
authors.initials: IR
authors.lastname: van Bruinessen
authors.affiliation: Netherlands Institute for Health Services Research (NIVEL), Utrecht, The Netherlands.
authors.forename: Brigit
authors.initials: B
authors.lastname: Leegwater
authors.affiliation: Netherlands Institute for Health Services Research (NIVEL), Utrecht, The Netherlands; Department of Primary and Community Care, Radboud University Medical Center, Nijmegen, The Netherlands; Faculty of Health Sciences, University College of Southeast Norway, Drammen, Norway.
authors.forename: Sandra
authors.initials: S
authors.lastname: van Dulmen
mesh_terms: D005260:Female; D006801:Humans; D008297:Male; D008495:Medical Oncology; D008875:Middle Aged; D009426:Netherlands; D017060:Patient Satisfaction; D010817:Physician-Patient Relations; D012017:Referral and Consultation; D011795:Surveys and Questionnaires; D013637:Tape Recording
keywords: Cancer; Consultation audio-recording; Implementation; Multimedia; Oncology; Patient-provider communication