Borgen Lars, Stranden Erling
Department of Radiology, Drammen Hospital, Dronning gaten 28, 3004, Drammen, Norway,
Insights Imaging. 2014 Oct;5(5):635-40. doi: 10.1007/s13244-014-0348-y. Epub 2014 Aug 28.
To explore if the perception of radiologists and radiographers on referral practice differs from that of referring clinicians, and to see if knowledge of radiation issues and referral guidelines differ between these groups.
A questionnaire was handed out to 46 radiologists and 36 radiographers in Norway. Findings were compared to corresponding results from a similar already published study on clinicians. Questions dealt with referrals unlikely to affect treatment as well as respondents' radiation and referral guideline knowledge.
Radiographers estimated the highest proportion of referrals most unlikely to affect treatment (median 20 %) in comparison to radiologists (10 %) and clinicians (5 %). Lack of time, compensating for limited clinical examination and patient expectations were rated as more important reasons for such referrals by radiologists than by clinicians. Radiologists and radiographers possessed significantly better radiation knowledge than clinicians, and were more familiar with referral guidelines.
The perception of radiologists and radiographers differs from that of clinicians, concerning the use of imaging most unlikely to affect treatment, and the reasons for such referrals. Radiologists and radiographers possess better radiation knowledge than referring clinicians, but all groups have a potential in improving their radiation protection knowledge.
• Radiographers estimated the highest proportion of referrals most unlikely to affect treatment. • Radiologists rated "getting the patient discharged" as an important reason for such referrals. • Radiologists and radiographers possess significantly better radiation knowledge than clinicians.
探讨放射科医生和放射技师对转诊实践的看法是否与转诊临床医生不同,以及查看这些群体之间在辐射问题和转诊指南方面的知识是否存在差异。
向挪威的46名放射科医生和36名放射技师发放了问卷。将结果与之前一项关于临床医生的类似已发表研究的相应结果进行比较。问题涉及不太可能影响治疗的转诊以及受访者的辐射和转诊指南知识。
与放射科医生(10%)和临床医生(5%)相比,放射技师估计最不太可能影响治疗的转诊比例最高(中位数为20%)。放射科医生认为,与临床医生相比,时间不足、弥补有限的临床检查以及患者期望是此类转诊更重要的原因。放射科医生和放射技师的辐射知识明显优于临床医生,并且对转诊指南更熟悉。
在最不太可能影响治疗的影像检查的使用以及此类转诊的原因方面,放射科医生和放射技师的看法与临床医生不同。放射科医生和放射技师的辐射知识比转诊临床医生更好,但所有群体在提高其辐射防护知识方面都有潜力。
• 放射技师估计最不太可能影响治疗的转诊比例最高。• 放射科医生将“让患者出院”视为此类转诊的一个重要原因。• 放射科医生和放射技师的辐射知识明显优于临床医生。