Syed Nusrat Raza, Muhammad Riaz Khokhar, Jehangir Afridi, Amanat Ali Shah.
Role of Video Documentation in Otolaryngology Practice.
Pak J Otolaryngol Jan ;30(1):07-10.

OBJECTIVE : To analyse the effect of video documentation in ENT outdoor practice with regards to patient satisfaction. STUDY DESIGN: Retrospective Observational study. SETTING: ENT outpatient department of CMH Quetta from December 2011 to March 2012, and ENT department of CMH Multan from April 2012 to June 2012. MATERIALS AND METHODS: A standard micro-CCTV camera with optical coupler attached to rigid or fiberoptic endoscope and connected to USB TV device was used to record image of any pathology found on patient?s ENT examination. Patients were shown recordings of their ENT pathology and were explained suggested treatment. After surgery, fresh recordings were taken. A set of questions was asked from the patients and results were deducted after assessment of the patient’s response card. RESULTS: In the opinion of 67.5 % of patients, their understanding of the disease was complete after seeing the video. Interestingly out of those who consented for surgery, 42.5 % opined that they would have not consented for surgery so quickly if they had not been shown video evidence of their disease. 91.7 % said that serial videos made them more reassured about progress and current status of their disease. P value with Pearson Chi-Square test (used as test of significance) was less then .05, significantly in favour of greater reassurance level about progress of the disease after seeing video rather then without seeing video. CONCLUSION: Video documentation definitely increases patient?s confidence, his understanding of disease, saves time and subsequent visits. It greatly adds to the patient’s reassurance before and after surgery.

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