Hughes Christine M, Kramer Erich, Colamonico Jennifer, Duszak Richard
Hadley Hart Group, Chicago, Illinois.
Nielsen Consumer Insights (formerly Harris Interactive), New York, New York.
J Am Coll Radiol. 2015 May;12(5):458-62. doi: 10.1016/j.jacr.2014.09.040. Epub 2015 Jan 26.
To understand perceptions of primary care physicians (PCPs) about the value of advanced medical imaging.
A national quantitative survey of 500 PCPs was conducted using an online self-administered questionnaire. Questions focused on advanced medical imaging (CT, MRI, and PET) and its perceived impact on the delivery of patient care. Responses were stratified by physician demographics.
Large majorities of the PCPs indicated that advanced imaging increases their diagnostic confidence (441; 88%); provides data not otherwise available (451; 90%); permits better clinical decision making (440; 88%); increases confidence in treatment choices (438; 88%), and shortens time to definitive diagnosis (430; 86%]). Most (424; 85%) believe that patient care would be negatively affected without access to advanced imaging. PCPs whose clinical careers predated the proliferation of advanced imaging modalities (>20 years of practice) assigned higher value to advanced imaging on several dimensions compared with younger physicians whose training overlapped widespread technology availability.
By a variety of metrics, large majorities of PCPs believe that advanced medical imaging provides considerable value to patient care. Those whose careers predated the widespread availability of advanced imaging tended to associate it with even higher value.
了解基层医疗医生（PCP）对先进医学影像价值的看法。
采用在线自填问卷对500名基层医疗医生进行全国性定量调查。问题聚焦于先进医学影像（CT、MRI和PET）及其对患者护理的感知影响。回答按医生人口统计学特征分层。
绝大多数基层医疗医生表示，先进影像提高了他们的诊断信心（441人；88%）；提供了其他途径无法获得的数据（451人；90%）；有助于做出更好的临床决策（440人；88%）；增强了对治疗选择的信心（438人；88%），并缩短了明确诊断的时间（430人；86%）。大多数人（424人；85%）认为，如果无法使用先进影像，患者护理将受到负面影响。与培训期间先进影像技术广泛应用的年轻医生相比，临床职业生涯早于先进影像技术普及（执业超过20年）的基层医疗医生在几个方面对先进影像赋予了更高的价值。
通过多种指标衡量，绝大多数基层医疗医生认为先进医学影像为患者护理提供了相当大的价值。那些职业生涯早于先进影像广泛应用的医生往往认为其价值更高。
