Table 2

Perceived benefits and risks of patients recording clinical encounters

Improved patient engagement, understanding, experience and health outcomes
  1. With split families it could be beneficial if you’re sharing – like with mum and dad being separated or carers separated. (P05)

  2. It can be actually really helpful for some patients to watch it back themselves and then we can point things out, where we say, you know when we’re telling you to do X, this is what it looks like, and this is what we want you to do [during therapy). (P10)

  3. Elderly people where they’ve got some cognitive issues or… or other people that have been quite highly distressed and are having difficulty absorbing information and interventions. (P17)

Improved clinical and communication efficiency
  1. They could play it back to their family members, to alleviate the family members ringing us 100 times to try to get the information, where they’ve heard it from the horse’s mouth. (P07)

  2. It made my job a lot easier to explain things to him. That was obviously less work for me, so that’s always a win. (P12)

Evidence of service to protect clinician and patient
  1. The recording can actually show that that’s not what was said or that’s not how it was intended. (P01)

  2. I think if people are genuinely getting a poor level of care, I can see why that would be beneficial for patients. (P10)

Equitable uptake of service via inclusive practices
  1. So literacy levels were a challenge and then they were very attached to their phones. We discussed with them that that was a great way to support their memory. (P14)

  2. Say if someone is vision impaired, for example, and with the brochure, it’s not really user friendly for someone with a vision impairment. Having a voice recording of that could be beneficial. (P18)

Ownership and confidentially (for patients and clinicians)
  1. The gym is a public space and there are others in the background on these videos, and that is often not considered. (P04)

  2. The conversation that I have with that patient is private and confidential, and with a recording being made of that conversation, it’s no longer safely private or confidential, even if it is in the patient’s possession. (P11)

Use and personal, professional, and legal consequences (including social media, news)
  1. So you would be forever thinking, okay, well, if this ends up in the paper, I could lose my job. I could lose my registration. I could lose the respect of my colleagues. (P02)

  2. As a clinician I should be caring and compassionate thinking that sometimes you’re overloaded with the information. But my first thought is for myself and for the backlash that I might get if it’s recorded. (P07)

  3. That they would use it in a negative way, or they’d put it on the internet and I wouldn’t have any control over how that information was used. (P08)

Negatively impacts relationship, dynamic
  1. But when you have someone recording you, you feel like you want to be quick and easy, let’s just get the recording done, then go through the rapport-building afterwards. I guess that’s a negative, that you can’t get that – the fluff is sometimes important. (P03)

  2. But I think people do speak differently when they’re on camera or if they’re being recorded, so it might sort of put up a barrier between the patient and the clinician of free and open communication, because you’ve always got things in the back of your mind about what could be misinterpreted or misconstrued, or what the patient might not understand fully. (P16)

Impairs patient understanding, well-being, or experience of service
  1. We try and keep it very clinical. So we’re not actually supporting them emotionally as much as we would do if they weren’t recording. (P02).

  2. If instead a recording was used and all of that clutter of conversation leading up to that was what information was potentially being derived from, it could lead to a lot of mess. (P11)

Evidence of service, to expose clinician or health service
  1. I just think it’s me feeling that it could be used against me if I haven’t done the right thing. (P07)

  2. Then yeah, the idea that you might say something and not necessarily misspeak, but it’s a true thing at that time, that might not be true down the track and people try to [hold you] to it. (P04)