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转诊临床医生希望放射科医生如何报告?COVER调查的建议。

How do referring clinicians want radiologists to report? Suggestions from the COVER survey.

作者信息

Bosmans Jan M L, Peremans Lieve, De Schepper Arthur M, Duyck Philippe O, Parizel Paul M

出版信息

Insights Imaging. 2011 Oct;2(5):577-584. doi: 10.1007/s13244-011-0118-z. Epub 2011 Jul 29.

Abstract

OBJECTIVE

To investigate what referring clinicians suggest when asked how the quality of radiology reports can be improved. METHODS: At the end of the questionnaire of the COVER survey, a bi-national quantitative survey on the radiology report among referring physicians, clinical specialists and general practitioners were able to freely enter suggestions with regard to improving the quality of the report. These suggestions were isolated from the quantitative results. Subjects and themes were identified, examined, ordered, counted, compared and analysed. RESULTS: Of a total of 3,884 invitations to participate, we received 735 response forms from clinicians (18.9%), 233 (31.7%) of which contained suggestions. Issues mentioned most frequently were the need for clinical information and a clinical question, for a conclusion, structuring, communicating directly with the clinician, completeness, integrating images or referring to images, mentioning relevant findings outside of the clinical question, mentioning a diagnosis or suitable differential diagnosis, and concise reporting. CONCLUSION: Although these spontaneous suggestions are erratic and sometimes contradictory, they summarise the ideas as well as the emotions of these clients of the radiology department. Therefore it is advisable to take them into account when developing new ways of reporting.

摘要

目的

调查当被问及如何提高放射学报告质量时,转诊临床医生会给出何种建议。方法:在COVER调查(一项关于转诊医生、临床专科医生和全科医生对放射学报告的双国家定量调查)问卷末尾,他们能够自由输入关于提高报告质量的建议。这些建议从定量结果中分离出来。对主题和内容进行识别、审查、排序、计数、比较和分析。结果:在总共3884份参与邀请中,我们收到了735份临床医生的回复表(回复率18.9%),其中233份(31.7%)包含建议。提及最频繁的问题包括需要临床信息和临床问题、结论、结构安排、与临床医生直接沟通、完整性、整合图像或提及图像、提及临床问题之外的相关发现、提及诊断或合适的鉴别诊断以及简洁报告。结论:尽管这些自发提出的建议不稳定且有时相互矛盾,但它们总结了放射科这些客户的想法和情绪。因此,在开发新的报告方式时考虑这些建议是明智的。

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