Cross-sectional survey of medical professionals' attitudes toward recorded doctor-patient conversations.

Background: The study investigates Chinese healthcare professionals' attitudes toward patient-initiated audio-recordings of medical consultations, a growing practice aimed at improving patient comprehension, while also presenting legal, ethical, and clinical challenges. Design and methods: A cross-sectional survey was conducted from March to September 2022 as a pilot study. Physicians from various specialties across China were invited to complete an anonymous online questionnaire. The survey assessed demographic data, attitudes toward patient-led recordings, and the reasons behind these attitudes. Statistical analyses, including chi-square and Fisher's exact tests, were applied to identify significant differences, with a Results: Out of 968 valid responses, 36.8% of physicians supported patient-initiated recordings, while 63.2% were opposed. Significant differences were observed based on gender, age, years of practice, and professional title, but not on education level or hospital type. Supporters cited enhanced communication and respect for patient autonomy as key reasons, while opponents expressed concerns about potential legal risks, reduced medical efficiency, and damage to trust in the doctor-patient relationship. Conclusions: The majority of participating physicians in our study remain cautious about patient-initiated recordings, reflecting a need for clearer regulatory frameworks and protections. This caution highlights the complexity of balancing patient engagement with the practicalities of clinical work. Practice implications: Establishing standardized guidelines and offering training for healthcare professionals on managing recorded consultations could alleviate concerns and foster a more collaborative doctor-patient relationship.