Please use this identifier to cite or link to this item: http://hdl.handle.net/1893/9830
Appears in Collections:Faculty of Health Sciences and Sport Journal Articles
Peer Review Status: Refereed
Title: Is the routine recording of primary care consultations possible … and desirable? Lessons for researchers from a consultation with multiple stakeholders
Authors: Rushmer, Rosemary
Themessl-Huber, Markus
Coyle, Joanne
Humphris, Gerry
Dowell, Jon
Williams, Brian
Contact Email: brian.williams@stir.ac.uk
Keywords: Primary care
Consultation study
GP–patient consultations
Audio-recording
Longitudinal data linkage
Issue Date: Feb-2011
Publisher: Elsevier for the American Academy on Communication in Healthcare (AACH) and the European Association for Communication in Healthcare (EACH)
Citation: Rushmer R, Themessl-Huber M, Coyle J, Humphris G, Dowell J & Williams B (2011) Is the routine recording of primary care consultations possible … and desirable? Lessons for researchers from a consultation with multiple stakeholders, Patient Education and Counseling, 82 (2), pp. 247-253.
Abstract: Objective: To explore stakeholders' attitudes towards routine, longitudinal recording of primary care consultations for research purposes, and to identify legal, ethical, and practical barriers and facilitators. Methods: 183 stakeholders (including patients, researchers and practice staff) were identified using a purposeful sampling strategy. Stakeholders participated in focus groups and interviews. The data was analysed thematically in an iterative manner with themes and questions from earlier discussions being raised with later participants. Results: Most participants supported the creation of a database and believed it would benefit patient care. They suggested it could be used to train doctors, aid understanding of conditions, and feed information back to practices to improve performance. However, enthusiasm was tempered by concerns about the ownership security and access of the data; quality and limitations of the dataset; impact on behaviour; and workload. Safeguards were suggested that protected vulnerable individuals, enabled participation, gave control to participants, and clarified data use. Conclusion: The findings show that collecting such longitudinal data is possible, valuable and acceptable providing certain safeguards are in place. Practice implications: Future studies employing routine recordings of consultations should: * Attend to confidentiality, access and governance of the archive. * Collect quality data, and store it securely.
Type: Journal Article
URI: http://hdl.handle.net/1893/9830
DOI Link: http://dx.doi.org/10.1016/j.pec.2010.04.020
Rights: The publisher does not allow this work to be made publicly available in this Repository. Please use the Request a Copy feature at the foot of the Repository record to request a copy directly from the author. You can only request a copy if you wish to use this work for your own research or private study.
Affiliation: University of St Andrews
University of Dundee
NMAHP Research
University of St Andrews
University of Dundee
NMAHP Research

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