Hammond I, Franche R L, Black D M, Gaudette S
Department of Radiology, Ottawa Hospital, University of Ottawa, Ont.
Can Assoc Radiol J. 1999 Aug;50(4):233-4.
Radiologists may be asked to disclose results directly to patients. Studies of radiologist-patient communication show that radiologists have a direct responsibility to their patients, that many patients wish to learn the results of imaging tests from the radiologist at the time of the examination, and that many referring physicians support the principle of radiologists disclosing results when patients ask for them. In some areas, such as breast imaging and interventional radiology, disclosure by radiologists is very common. The authors, who work in a perinatology unit in which obstetrical ultrasonography is performed, have developed a template to help them with the often-emotional interactions associated with pregnancy failure. They recommend that radiologists inform the patient clearly of the examination results, choosing everyday words such as "miscarriage" and "pregnancy." They also recommend that physicians show compassion, acknowledge patients' grief and inform the referring physician as soon as possible. These steps should be part of a policy of direct, honest communication with patients.
放射科医生可能会被要求直接向患者披露检查结果。有关放射科医生与患者沟通的研究表明，放射科医生对其患者负有直接责任，许多患者希望在检查时从放射科医生那里得知影像检查结果，而且许多转诊医生支持放射科医生在患者要求时披露结果的原则。在某些领域，如乳腺成像和介入放射学，由放射科医生披露结果非常普遍。本文作者在一个进行产科超声检查的围产医学科室工作，他们开发了一个模板，以帮助处理与妊娠失败相关的常见情绪化互动。他们建议放射科医生用“流产”和“妊娠”等日常用语，向患者清楚地告知检查结果。他们还建议医生表达同情，承认患者的悲痛，并尽快告知转诊医生。这些步骤应成为与患者进行直接、坦诚沟通政策的一部分。
