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全科医生与放射科医生之间的沟通:观点、经验、前景与陷阱。

Communication between general practitioners and radiologists: opinions, experience, promises, pitfalls.

作者信息

Bosmans J M L, Schrans D, Avonts D, De Maeseneer J M

出版信息

JBR-BTR. 2014 Nov-Dec;97(6):325-30. doi: 10.5334/jbr-btr.127.

Abstract

PURPOSE

Studies encompassing the views and aspirations of general practitioners (GPs) concerning the radiology report are rare. We present the results of a large-scale survey among GPs in Flanders, Belgium, and examine its implications for the communication between radiologists and GPs.

MATERIALS AND METHODS

GPs were invited by e-mail to participate in a survey on the radiology report. Respondents could state their degree of agreement with 46 statements. Besides that, they could freely make suggestions to improve the report. Quantitative results were examined to determine majority convictions. Free text suggestions were searched for motives and convictions.

RESULTS

Of 1323 GPs invited, 282 completed forms were prepared for analysis. 96.8% considered the report an indispensable tool. 85.5% were satisfied with it. Itemized reporting of complex examinations was favoured by a very large majority. 83 GPs (29.4%) made suggestions for improvement. Much emphasis was put upon the clinical role of the radiologist. The need to mark key images, to mention meaningful normal findings, to structure the report and to facilitate communication was also frequently mentioned.

CONCLUSION

GPs expect the radiologist to think as a clinician and offer clinical answers. An automated electronic information chain may contribute to realize this objective but direct communication should always remain possible.

摘要

目的

涉及全科医生(GP)对放射学报告的观点和期望的研究很少。我们展示了在比利时弗拉芒地区对全科医生进行的大规模调查结果,并探讨其对放射科医生与全科医生之间沟通的影响。

材料与方法

通过电子邮件邀请全科医生参与关于放射学报告的调查。受访者可以对46条陈述表明他们的同意程度。除此之外,他们可以自由提出改进报告的建议。对定量结果进行分析以确定多数人的看法。对自由文本建议进行动机和看法的搜索。

结果

在1323名受邀的全科医生中,282份填写完整的表格可供分析。96.8%的人认为该报告是不可或缺的工具。85.5%的人对其满意。绝大多数人赞成对复杂检查进行分项报告。83名全科医生(29.4%)提出了改进建议。很多建议都强调了放射科医生的临床作用。还经常提到标记关键图像、提及有意义的正常发现、构建报告以及促进沟通的必要性。

结论

全科医生期望放射科医生像临床医生一样思考并提供临床答案。自动化的电子信息链可能有助于实现这一目标,但直接沟通应始终可行。

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