Intended for healthcare professionals

Rapid response to:

Head To Head

Should doctors encourage patients to record consultations?

BMJ 2015; 350 doi: (Published 08 January 2015) Cite this as: BMJ 2015;350:g7645

Rapid Response:

Quality of care is the reflection of the values and goals of a health care system. The assessment of infrastructure, process and outcome are crucial components and important in evaluating the performance of the health system in every single country. Among these three components, Infrastructure is easy and feasible, and outcomes are more practical to assess, but these two are not well representative of quality of care: they are more likely to be the view of the system and health professional. On the other hand, the assessment of the process component is very difficult but well representative. Measurement of time, content, and method of consultation is one way to evaluate the performance of doctors and nurses, and patients’ records could be a more practical and objective reflection. However, problems still exist in terms of how patients conduct the recording, who is going to manage all of this information, and how to interpret and apply it in reality to generate better performances in the future.

Competing interests: No competing interests

19 January 2015
Van Tuyen Duong
Public Health Researcher
Taipei Medical University
No 250, Wuxing Street, Taipei City, Taiwan, 110