Department of Anthropology, History, and Social Medicine, University of California, San Francisco, San Francisco, California 94143-0850, USA.
J Am Coll Radiol. 2013 May;10(5):368-72. doi: 10.1016/j.jacr.2012.12.009.
The aim of this study was to investigate whether locating reading rooms in clinical areas at a large tertiary care, academic hospital in the United States corresponds with increased rates of direct communication between radiologists and clinicians. Data recorded included the frequency, form, duration, and general purpose of communications. Two-tailed Fisher's exact tests were used to determine the statistical significance of differences between the frequencies of communication methods for the reading rooms included in the study. During the observation period, there were a total of 175 episodes of communication between radiologists and referring providers in the 4 study reading rooms. There was a highly significant difference (P < .0001) in the percentage of visits and critical test result management messages sent between embedded and nonembedded reading rooms, while the differences in the proportion of calls both to and from referring providers was not significant (P = .4468). Although the purpose of this study was to assess the impact of reading room location on radiologists' communications with referring providers, several alternative hypotheses could also explain the results. The value of this study emerges from the documentation of the high degree of variability among institutions in communication practices among different kinds of radiologists and referring physicians. The extent of these different practices among the 4 reading rooms has important implications for future studies of communication patterns between radiologists and referring providers as well as for designing effective interventions to enhance the role of radiologists as consultants.
本研究旨在探讨美国一家大型三级保健、学术型医院将阅读室设置在临床区域是否能提高放射科医生与临床医生之间的直接交流率。记录的数据包括交流的频率、形式、持续时间和一般目的。采用双侧 Fisher 精确检验来确定研究中包含的阅读室之间交流方法频率差异的统计学意义。在观察期间，在 4 间研究阅读室中，放射科医生和转诊提供者之间共有 175 次交流事件。嵌入式和非嵌入式阅读室之间的访问和关键测试结果管理消息的发送百分比存在显著差异（P <.0001），而来自和来自转诊提供者的呼叫比例差异不显著（P =.4468）。尽管本研究的目的是评估阅读室位置对放射科医生与转诊提供者之间交流的影响，但也可以用其他一些假设来解释结果。本研究的价值在于记录了不同种类的放射科医生和转诊医生之间的交流实践在各机构之间存在高度的可变性。这 4 间阅读室之间存在这些不同实践的程度对未来研究放射科医生与转诊提供者之间的交流模式以及设计增强放射科医生作为顾问的作用的有效干预措施具有重要意义。
