Individuals recording clinical encounters
A review of applicable law in multiple countries
DOI:
https://doi.org/10.1558/cam.20257Keywords:
consent, digital audio recording, healthcare, law, recording clinical encounters, statutesAbstract
Background: Clinicians and their employers, concerned with privacy and liability, are often hesitant to support the recording of clinical encounters. However, many people wish to record encounters with healthcare professionals. It is therefore important to understand how existing law applies to situations where an individual requests to record a clinical encounter.
Methods: We searched for and reviewed relevant legal documents that could apply to recording clinical encounters. We limited the scope by purposefully examining relevant law in nine countries: Australia, Brazil, Canada, France, Germany, India, Mexico, the United Kingdom and the United States. We analyzed legal texts for consents needed to record a conversation, whether laws applied to remote or face-to-face conversations and penalties for violations.
Findings: Most jurisdictions have case law or statutes, derived from a constitutional right to privacy, or a wiretapping or eavesdropping statute, governing the recording of private conversations. However, little to no guidance exists on how to translate constitutional principles and case law into advice for people seeking to record their medical encounters.
Interpretation: The law has not kept pace with people’s wish to record clinical interactions, which has been enabled by the arrival of mobile technology.
References
Barr, Paul J., Kyra Bonasia, Kanak Verma, Michelle D. Dannenberg, Cameron Yi, Ethan Andrews, Marisha Palm, Kerri L. Cavanaugh et al. (2018) Audio-/videorecording clinic visits for patient’s personal use in the United States: Cross-sectional survey. Journal of Medical Internet Research 20 (9): Article e11308. https://doi.org/10.2196/11308
Elwyn, Glyn, Paul J. Barr and Mary Castaldo (2017) Can patients make recordings of medical encounters? What does the law say?. JAMA: The Journal of the American Medical Association 318 (6): 513–514. https://doi.org/10.1001/jama.2017.7511
Elwyn, Glyn, Paul J. Barr and Stuart W. Grande (2015) Patients recording clinical encounters: A path to empowerment? Assessment by mixed methods. BMJ Open 5 (8): Article e008566. https://doi.org/10.1136/bmjopen-2015-008566
Ferguson, Benjamin D. and Peter Angelos (2021) Ethical and legal considerations of patients audio recording, videotaping, and broadcasting physician encounters. JAMA Surgery 156 (2): 119–120. https://doi.org/10.1001/jamasurg.2020.2968
Hyatt, Amelia, Ruby Lipson-Smith, Bryce Morkunas, Meinir Krishnasamy, Michael Jefford, Kathryn Baxter, Karla Gough, Declan Murphy et al. (2020) Testing consultation recordings in a clinical setting with the SecondEars smartphone app: Mixed methods implementation study. JMIR mHealth and uHealth 8 (1): Article e15593. https://doi.org/10.2196/15593
Jennings, Katie (2020) This AI startup raised $15 million to help patients transcribe doctor appointments. Forbes, 6 October. Online: https://www.forbes.com/sites/katiejennings/2020/10/06/this-ai-startup-raised-15-million-to-help-patients-transcribe-doctor-appointments-and-decode-jargon/
Joshi, Abhyudaya, Maria Farberov, Seleshi Demissie, Marianne C. Smith and Glyn Elwyn (2020) Attitudes of physicians to recording clinical encounters: Responses to an online survey. Journal of General Internal Medicine 35 (3): 942–943. https://doi.org/10.1007/s11606-019-05127-y
O’Hara, Niall, Lily Walkergp and Kanwaljit Singh (2017) Setting the record straight: Patient recordings of consultations. Clinical Medicine 17 (2): 188. https://doi.org/10.7861/clinmedicine.17-2-188
Rodriguez, Michelle, Jason Morrow and Ali Seifi (2015) Ethical implications of patients and families secretly recording conversations with physicians. JAMA: The Journal of the American Medical Association 313 (16): 1615–1616. https://doi.org/10.1001/jama.2015.2424
Ryan, Padhraig, Saturnino Luz, Pierre Albert, Carl Vogel, Charles Normand and Glyn Elwyn (2019) Using artificial intelligence to assess clinicians’ communication skills. BMJ 364: l161. https://doi.org/10.1136/bmj.l161
Shachar, Carmel, Jaclyn Engel and Glyn Elwyn (2020) Implications for telehealth in a postpandemic future: Regulatory and privacy issues. JAMA: The Journal of the American Medical Association 323 (23): 2375–2376. https://doi.org/10.1001/jama.2020.7943
Tsulukidze, Maka, Stuart W. Grande, Rachel Thompson, Kenneth Rudd and Glyn Elwyn (2015) Patients covertly recording clinical encounters: threat or opportunity? A qualitative analysis of online texts. PloS ONE 10 (5): Article e0125824. https://doi.org/10.1371/journal.pone.0125824
van Bruinessen, Inge R., Brigit Leegwater and Sandra van Dulmen (2017) When patients take the initiative to audio-record a clinical consultation. Patient Education and Counseling 100 (8): 1552–1557. https://doi.org/10.1016/j.pec.2017.03.001
Yentis, Steve M., Samantha Shinde, David Bogod, Nick Flatt, Helen Hartley, Paula Keats, Surrah Leifer, John Pappachan et al. (2020) Audio/visual recording of doctors in hospitals: Guideline from the Association of Anaesthetists. Anaesthesia 75 (8): 1082–1085. https://doi.org/10.1111/anae.15010
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