Erlichman David B, Stein Marjorie W, Weiss Amanda, Mazzariol Fernanda
Montefiore Medical Center, Albert Einstein College of Medicine, 111 East 210th Street, Bronx, NY, 10467, USA.
North Shore-LIJ Health System, Manhasset, NY, USA.
Emerg Radiol. 2016 Jun;23(3):245-9. doi: 10.1007/s10140-016-1389-y. Epub 2016 Mar 10.
The aim of this study was to evaluate the feasibility and acceptance of a model of direct interaction between radiologist and patients in the emergency department (ED) setting. The study population was comprised of pregnant patients accrued in a non-consecutive prospective manner from June 2014 to September 2015, who had an obstetrical ultrasound performed in the radiology department of an inner-city tertiary care hospital at the request of the ED. The feasibility and approval of direct communication between radiologist and patient were evaluated by means of a questionnaire presented by an independent observer to the ED provider, patient, and radiologist. The exam enrolled 54 patients. Ultrasound (US) exam results were divided into (31) normal live intrauterine gestation (group 1), (7) abnormal failed intrauterine gestation or ectopic pregnancy (group 2), and (16) indeterminate pregnancies that could not be placed in the former categories and may require a follow-up exam (group 3). Forty-five (83 %) ED providers approved of the radiologist's direct communication with patients. Fifty (93 %) patients stated a better understanding of the radiologist's role in their care after than before the interaction. The radiologists found the interaction with patients to be positive in 52 (96 %) cases. Direct communication between radiologist and patient yielded a good acceptance by the radiologist, ED provider, and patient. More importantly, after the encounter, the vast majority of patients reported a better understanding of the radiologist's role in their care.
本研究的目的是评估在急诊科（ED）环境中放射科医生与患者直接互动模式的可行性和可接受性。研究对象为2014年6月至2015年9月以非连续前瞻性方式纳入的孕妇，她们应急诊科要求在市中心一家三级护理医院的放射科进行了产科超声检查。放射科医生与患者直接沟通的可行性和认可度通过一名独立观察员向急诊科医护人员、患者和放射科医生发放的问卷进行评估。该检查共纳入54名患者。超声（US）检查结果分为（31例）正常宫内活胎妊娠（第1组）、（7例）异常宫内妊娠失败或异位妊娠（第2组）以及（16例）无法归入前两类且可能需要后续检查的不确定妊娠（第3组）。45名（83%）急诊科医护人员认可放射科医生与患者的直接沟通。50名（93%）患者表示在互动后比互动前更了解放射科医生在其护理中的作用。放射科医生发现与患者的互动在52例（96%）情况下是积极的。放射科医生与患者的直接沟通得到了放射科医生、急诊科医护人员和患者的良好接受。更重要的是，在这次接触后，绝大多数患者表示对放射科医生在其护理中的作用有了更好的理解。
