Patient-initiated camera phone images in general practice : a qualitative study of illustrated narratives

Background: Camera phones have become ubiquitous in the digital age. Patients are beginning to bring images recorded on their mobile phones to share with their GP during medical consultations. Aim: To explore GP perceptions about the effect of patient-initiated camera phone images on the consultation. Design and setting: An interview study of GPs based in rural and urban locations in Australia. Methods: Semi-structured telephone interviews with nine GPs about their experiences with patient-initiated camera phone images. Results: GPs described how patient-initiated camera phone photos and videos contributed to the diagnostic process, management and continuity of care. These images gave GPs in the study additional insight into the patient's world. Potential harm resulting from inappropriate use of camera phones by patients was also identified. Conclusion: Patient-initiated camera phone images can empower patients by illustrating their narratives, thus contributing to improved communication in general practice. Potential harm could result from inappropriate use of these images. GPs shown images on patients' camera phones should make the most of this opportunity for improved understanding of the patient's world. There are however, potential medicolegal implications such as informed consent, protection of patient and doctor privacy, and the risk of misdiagnosis.