Clinical Visits Recording in Improving Healthcare Outcomes

Clinical Visits Recording in Improving Healthcare Outcomes
Measures of the performance of health care providers primarily rely on data gathered
from claims data, medical records, and patient surveys. Such quality measures evaluate the
clinician's adherence to evidence-based practices and patient experiences. Ball et al. (2021) state
that effective care and positive patient outcomes rely on patient-centered decision-making, also
called contextualizing care, whereby the clinicians use the data from clinical visit recordings to
highlight relevant patient-specific behaviors and circumstances to develop contextually
appropriate plans. For example, a patient could be unable to purchase specific medication. This
makes them unable to manage specific health conditions such as asthma (Ball et al., 2021). The
clinical visit recordings could also show that the patients are confused about how they take the
medication or cannot effectively self-manage their present conditions after their care partners'
departure (Basch et al., 2018). Each one of these scenarios requires different kinds of
interventions. Lack of clinical visit recordings would increase physicians' risk of being
inattentive to life context, often leading to contextual errors.
Contextual errors are common, negatively impact healthcare outcomes, and increase
healthcare costs. They are easily detected through analysis of audio recordings of the patients'
medical visits and using coding methods known as content coding for care contextualization.
Sulmasy et al. (2017) state that in light of the advantages of patient-recorded information
programs and visit recordings for enhancing care and healthcare outcomes, there is a significant
value in gaining a better understanding of stakeholder views and perspectives on intrusive
approaches to collecting information during patient visits. Previous studies on implementing
clinical visit recordings are primarily programs for providing recordings for patients as opposed
to quality improvement groups. Such types of research have explored employee perceptions, all

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showing divergent views on the issue. Some concerns have been raised regarding the medico-
legal implications of providing patient recordings of such visits, workflow disruptions that come
with implementing recording programs, breaches of patient privacy concerns, and overall
skepticism concerning the recordings' benefits (Singh-Ospina et al., 2019).
Knowledgeable patients being given access to their crucial health data tend to be more
engaged in regularly managing their treatment and health. This also minimizes expenditure and
cost of healthcare while reducing instances of misdiagnosis. Tapuria et al. (2021) state that
physicians have reliable and accurate reference points when making diagnoses and reviewing the
case long after the patient has left. Such access could be viewed as a viable link between the
optimal and current states of global healthcare delivery, which eventually contribute to enhanced
healthcare systems. The project will contribute to existing knowledge by filling in gaps that exist
in recent studies. Some gaps that will be filled include exploring how the practice of clinical visit
recordings affects the patient's privacy issues. It also fills the gap on how the practice of
recording clinical visits impacts patients' willingness to be more forthcoming and forthright in
their discussions with their physicians and medical personnel. Few studies have explored this
angle regarding the practice's impact on patient interactions and physician interactions. The
review will also validate any existing findings by critically evaluating them same.

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References

Ball, S. L., Weiner, S. J., Schwartz, A., Altman, L., Binns-Calvey, A., Chan, C., & Wopat, M.
(2021). Implementation of a patient-collected audio recording audit & feedback quality
improvement program to prevent contextual error: a stakeholder perspective. BMC health
services research, 21(1), 1-11. https://doi.org/10.1186/s12913-021-06921-3
Basch, E., Barbera, L., Kerrigan, C. L., & Velikova, G. (2018). Implementation of patient-
reported outcomes in routine medical care. American Society of Clinical Oncology
Educational Book, 38, 122-134. DOI: 10.1200/EDBK_200383 
Singh Ospina, N., Phillips, K. A., Rodriguez-Gutierrez, R., Castaneda-Guarderas, A.,
Gionfriddo, M. R., Branda, M. E., & Montori, V. M. (2019). Eliciting the patient's
agenda-secondary analysis of recorded clinical encounters. Journal of general