Department of Radiology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA.
AJR Am J Roentgenol. 2012 Oct;199(4):844-51. doi: 10.2214/AJR.11.8064.
The purpose of this study was to assess patient preferences about receiving radiology results and reviewing the images and findings directly with a radiologist after completion of an examination.
A prospective survey of English-speaking outpatients undergoing either nononcologic CT of the chest, abdomen, and pelvis or nonobstetric ultrasound examinations was completed between December 2010 and June 2011. Responses to survey items such as preferences regarding communication of results, knowledge of a radiologist, and anxiety level before and after radiologist-patient consultation were recorded. The average wait time between the end of the imaging examination and the consultation and the duration of consultation were documented.
Eighty-six patients (43 men, 43 women; mean age, 52 years) underwent 37 CT and 49 ultrasound examinations). Forty-eight patients (56%) identified a radiologist as a physician who interprets images. Before imaging, 70 patients (81%) preferred hearing results from both the ordering provider and the radiologist. This percentage increased to 78 (91%) after consultation (p=0.03). Before consultation, 84 of the 86 patients (98%) indicated they would be comfortable hearing normal results or abnormal results from the person interpreting the examination; the number increased to 85 (99%) after consultation. Eighty-five patients (99%) agreed or strongly agreed that reviewing their examination findings with a radiologist was helpful. Eighty-four patients (98%) indicated they wanted the option of reviewing or always wanted to review future examination findings with a radiologist. After consultation, anxiety decreased in 41 patients (48%), increased in 13 (15%), and was unchanged in 32 (37%) (p=0.0001). The average wait for consultation and the duration of consultation were 9.9 and 10.4 minutes for CT and 1.2 and 7.1 minutes for ultrasound.
Patients prefer hearing examination results from both their ordering provider and the interpreting radiologist. Most patients find radiologist consultation beneficial. Patients are comfortable hearing results from the radiologist, with most displaying decreased anxiety after consultation.
本研究旨在评估患者对在检查完成后直接与放射科医生一起接收放射学结果和查看图像及检查结果的偏好。
2010 年 12 月至 2011 年 6 月期间，对进行非癌症胸部、腹部和骨盆 CT 或非产科超声检查的英语门诊患者进行了前瞻性调查。记录了对调查项目的回答，例如对结果沟通、对放射科医生的了解以及放射科医生就诊前后焦虑水平的偏好。记录了影像学检查结束与就诊之间的平均等待时间和就诊持续时间。
86 名患者（43 名男性，43 名女性；平均年龄 52 岁）进行了 37 次 CT 和 49 次超声检查）。48 名患者（56%）将放射科医生识别为解释图像的医生。在成像之前，70 名患者（81%）希望同时从医嘱提供者和放射科医生那里听到结果。在咨询后，这一比例增加到 78%（91%）（p=0.03）。在咨询之前，86 名患者中的 84 名（98%）表示他们会在听到解释检查的人告知正常结果或异常结果时感到舒适；在咨询后，这一比例增加到 85 名（99%）。85 名患者（99%）同意或强烈同意与放射科医生一起查看他们的检查结果很有帮助。84 名患者（98%）表示他们希望有机会与放射科医生一起查看或总是希望查看未来的检查结果。咨询后，41 名患者（48%）的焦虑程度下降，13 名患者（15%）的焦虑程度增加，32 名患者（37%）的焦虑程度不变（p=0.0001）。CT 的平均等待时间和就诊时间分别为 9.9 分钟和 10.4 分钟，超声检查的平均等待时间和就诊时间分别为 1.2 分钟和 7.1 分钟。
患者希望同时从医嘱提供者和解释放射科医生那里听到检查结果。大多数患者发现放射科医生的咨询是有益的。患者愿意从放射科医生那里听到结果，大多数患者在咨询后焦虑程度降低。
