Abstract

The purpose of this paper is to describe the use of video-based observation research methods in primary care environment and highlight important methodological considerations and provide practical guidance for primary care and human factors researchers conducting video studies to understand patient-clinician interaction in primary care settings. We reviewed studies in the literature which used video methods in health care research, and we also used our own experience based on the video studies we conducted in primary care settings. This paper highlighted the benefits of using video techniques, such as multi-channel recording and video coding, and compared "unmanned" video recording with the traditional observation method in primary care research. We proposed a list that can be followed step by step to conduct an effective video study in a primary care setting for a given problem. This paper also described obstacles, researchers should anticipate when using video recording methods in future studies. With the new technological improvements, video-based observation research is becoming a promising method in primary care and HFE research. Video recording has been under-utilised as a data collection tool because of confidentiality and privacy issues. However, it has many benefits as opposed to traditional observations, and recent studies using video recording methods have introduced new research areas and approaches.

Highlights

  • The health care system is complex and involves a range of people from various backgrounds and perspectives who communicate, interact and collaborate

  • An Institute of Medicine (IOM) report proposed a partnership between health care and industrial and system engineering, including human factors engineering (HFE), to create solutions for these problems.[2]

  • This paper addresses potential benefits of using video observation and video analysis methods, which can be used by human factors and health care researchers in primary care settings

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Summary

Introduction

The health care system is complex and involves a range of people from various backgrounds and perspectives who communicate, interact and collaborate. Several US Institute of Medicine (IOM) reports have addressed major problems in healthcare delivery, such as medical errors, poorly designed medical technologies and poorly designed work environments.[1] To this end, an IOM report proposed a partnership between health care and industrial and system engineering, including human factors engineering (HFE), to create solutions for these problems.[2] HFE is the study of interactions of humans with the systems, products and environment and takes a system approach to study interactions.[3] Primary care is one of the main components of the health care system and involves the widest scope of health care, including a variety of Informatics in Primary Care Vol 21, No 4 (2014). The HFE discipline can play a major role in improving overall primary care health systems leading to better health outcomes.[4]

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