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患者体验和偏好:癌症影像科实践指南的制定。

Patient experiences and preferences: development of practice guidelines in a cancer imaging department.

机构信息

Department of Radiology, Institut Curie, 26 rue d'Ulm, 75248 Paris Cedex 05, France.

出版信息

Cancer Imaging. 2009 Oct 2;9 Spec No A(Special issue A):S92-7. doi: 10.1102/1470-7330.2009.9040.

DOI:10.1102/1470-7330.2009.9040
PMID:19965300
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2797468/
Abstract

OBJECTIVE

To improve patient management based on analysis of the results of a survey conducted during their visit to the imaging department of a cancer centre.

MATERIALS AND METHODS

A questionnaire comprising 30 single-response questions on a dichotomous scale or a 3- or 4-modality scale was developed by three radiologists specialized in oncology, the head of our quality assurance department, a psycho-oncologist, a psycho-sociologist, a biostatistician and a member of our institute's Patient Committee. Questions concerned reception, information provided about the examinations, examination experiences, the relational qualities and availability of health care professionals, the interview with the radiologist and announcement of the examination results.

RESULTS

The questionnaire was given to 190 patients in the waiting room before a standard radiography or ultrasound examination (33%), mammography and breast ultrasound (33%), computed tomography (CT) or magnetic resonance imaging (MRI) (34%). The return rate was 81%. This article analyses the responses to the various questions in terms of either percentages or detailed replies and suggestions.

CONCLUSION

Analysis of the patients' experience and their suggestions provided objective elements concerning their real wishes in relation to each step of their management and identified changes and improvements to be made to the organization and daily functioning of the department.

摘要

目的

通过分析癌症中心影像科就诊患者的调查结果,改善患者管理。

材料与方法

由三位肿瘤科放射科医生、质量保证部门主管、心理肿瘤学家、心理社会学家、生物统计学家和研究所患者委员会成员共同制定了一份问卷,问卷由 30 个二项式或 3 或 4 模式问题组成。问题涉及接待、检查相关信息提供、检查体验、医患关系质量和可及性、放射科医生访谈以及检查结果告知。

结果

在标准放射或超声检查(33%)、乳房 X 线摄影和乳房超声(33%)、计算机断层扫描(CT)或磁共振成像(MRI)(34%)前,问卷被发放至 190 名等候区患者。回收率为 81%。本文根据百分比或详细回复和建议,分析了各种问题的答案。

结论

对患者体验及其建议的分析提供了与管理各步骤相关的客观要素,明确了组织和部门日常运作需要做出的改变和改进。

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Doctor-patient relationship in oncologic radiology.肿瘤放射学中的医患关系。
Cancer Imaging. 2005 Nov 23;5 Spec No A(Spec No A):S83-8. doi: 10.1102/1470-7330.2005.0025.
6
Communication between radiologists and patients with cancer.放射科医生与癌症患者之间的沟通。
Cancer Imaging. 2005 Sep 21;5(1):114-5. doi: 10.1102/1470-7330.2005.0102.
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RADPED: an approach to teaching communication skills to radiology residents.放射科住院医师沟通技能教学方法:RADPED
Pediatr Radiol. 2005 Apr;35(4):381-6. doi: 10.1007/s00247-004-1356-8. Epub 2004 Nov 25.
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Communicating results of diagnostic mammography: what do patients think?传达乳腺钼靶诊断结果:患者怎么看?
Acad Radiol. 2000 Dec;7(12):1069-76. doi: 10.1016/s1076-6332(00)80058-6.
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SPIKES-A six-step protocol for delivering bad news: application to the patient with cancer.SPIKES——传达坏消息的六步协议:应用于癌症患者
Oncologist. 2000;5(4):302-11. doi: 10.1634/theoncologist.5-4-302.
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