Tavakol Olofsson Parvin, Aspelin Peter, Bergstrand Lott, Blomqvist Lennart
Department of Clinical Science, Intervention and Technology at Karolinska Institutet, Division of Medical Imaging and Technology , Stockholm , Sweden.
Ups J Med Sci. 2014 Nov;119(4):343-9. doi: 10.3109/03009734.2014.951133. Epub 2014 Aug 21.
Outsourcing radiological examinations from public university hospitals affects the patient, who has to attend a different clinic or hospital for the radiological examination. We currently have a limited understanding of how patients view outsourcing and their care related to MR examinations.
To examine the experiences of patients who are sent to private radiology units when their referrals for MR examinations are outsourced from a university hospital, as well as to explore factors which influence patient satisfaction regarding the quality of care related to the MR examination.
A group of patients (n = 160) referred for MR examinations and either examined at a university hospital or at an external private unit were interviewed. The interview was designed as a verbal questionnaire. Data were analyzed using Student's t test, analysis of variance (ANOVA), and Pearson's correlation.
Sixty-nine percent of the patients could neither choose nor influence the location at which they were examined. For those who could, aspects that influenced the patient's choice of radiology department were: short waiting time 79% (127/160), ease of traveling to the radiology department 68% (110/160), and short distance to their home or work 58% (93/160). For 40% (60/160) of the patients, a short time in the waiting room was related to a positive experience of the MR examination.
If patients were informed about outsourcing and could also choose where to have their examination, key factors contributing to patient satisfaction could be met even when MR examinations are outsourced.
公立大学医院将放射检查外包会影响患者，因为患者必须前往不同的诊所或医院进行放射检查。目前，我们对患者如何看待外包以及他们与磁共振检查相关的护理了解有限。
研究当大学医院将磁共振检查的转诊外包给私立放射科室时患者的经历，并探讨影响患者对磁共振检查护理质量满意度的因素。
对一组被转诊进行磁共振检查并在大学医院或外部私立机构接受检查的患者（n = 160）进行了访谈。访谈设计为口头问卷。使用学生t检验、方差分析（ANOVA）和皮尔逊相关性分析数据。
69%的患者既不能选择也不能影响他们接受检查的地点。对于那些能够选择的患者，影响患者选择放射科的因素有：等待时间短79%（127/160）、前往放射科交通便利68%（110/160）、距离家或工作地点近58%（93/160）。对于40%（60/160）的患者，在候诊室等待时间短与磁共振检查的积极体验相关。
如果患者被告知外包情况并且也能选择检查地点，即使磁共振检查外包，也能满足提高患者满意度的关键因素。
