Raza S, Rosen M P, Chorny K, Mehta T S, Hulka C A, Baum J K
Department of Radiology, Beth Israel Deaconess Medical Center, 330 Brookline Ave., Boston, MA 02215, USA.
AJR Am J Roentgenol. 2001 Sep;177(3):579-83. doi: 10.2214/ajr.177.3.1770579.
Our purpose was to determine whether patients prefer immediate or delayed results of screening mammography and to determine the cost of immediate reporting at our institution.
A survey was anonymously and randomly distributed to 129 women who were 35-70 years old during a visit to their primary care physician, asking the women's preference for receiving mammography results by one of two systems: by letter with a return visit for any additional tests; or by speaking at once with the radiologist, with the option of additional tests being performed during the same visit. Patients' willingness to pay for the latter service was also determined. A cost identification model was constructed using commercially available software. We considered the impact on radiologists' and technologists' time and the need for additional equipment and space, and we analyzed the effect on the cost of immediate reporting.
One hundred twenty (93%) surveys were completed. Eighty women (67%) preferred immediate reporting, and 62 (78%) of these 80 patients would wait 30-60 min. The additional cost of immediate reporting is $28.22 per patient. Only 11% of patients were willing to pay this additional cost. When new equipment and space were not required, the cost would increase by $4.38. This cost was most influenced by the time required to give patients normal results.
Most surveyed patients preferred speaking with a radiologist immediately but were unwilling to pay additional fees. Radiologists, hospital administrators, and health care planners must be aware of the costs of immediate reporting and must factor these costs into any change in hospital or national policy.
我们的目的是确定患者更喜欢乳腺钼靶筛查的即时结果还是延迟结果，并确定在我们机构即时报告的成本。
在129名35 - 70岁的女性患者就诊于她们的初级保健医生时，匿名且随机地向她们发放一份调查问卷，询问她们对于通过两种系统之一接收乳腺钼靶检查结果的偏好：通过信件并进行回访以进行任何额外检查；或者立即与放射科医生交谈，并可选择在同一次就诊时进行额外检查。还确定了患者为后一种服务付费的意愿。使用市售软件构建了一个成本识别模型。我们考虑了对放射科医生和技术人员时间的影响以及对额外设备和空间的需求，并分析了对即时报告成本的影响。
完成了120份（93%）调查问卷。80名女性（67%）更喜欢即时报告，这80名患者中有62名（78%）愿意等待30 - 60分钟。即时报告的额外成本为每位患者28.22美元。只有11%的患者愿意支付这笔额外费用。当不需要新设备和空间时，成本将增加4.38美元。这一成本受向患者提供正常结果所需时间的影响最大。
大多数接受调查的患者更喜欢立即与放射科医生交谈，但不愿支付额外费用。放射科医生、医院管理人员和医疗保健规划者必须意识到即时报告的成本，并必须将这些成本纳入医院或国家政策的任何变化中。
