From Diversified Radiology of Colorado, 1746 Cole Blvd, #150, Lakewood, CO 80401 (J.L.K.); Department of Radiology, University of Cincinnati Medical Center, Cincinnati, Ohio (M.C.M.); Department of Radiology, Medical College of Wisconsin, Milwaukee, Wis (V.P.M.); Department of Radiology, Stanford University School of Medicine, Stanford, Calif (M.W.); Department of Radiology, VA Medical Center, University of California, San Francisco, San Francisco, Calif. (J.Y.); and Department of Radiology, Boston Children's Hospital, Boston, Mass (S.D.B.).
Radiology. 2017 Nov;285(2):601-608. doi: 10.1148/radiol.2017162056. Epub 2017 Jun 20.
Purpose The objectives of the Radiological Society of North America (RSNA) Patient-Centered Radiology Steering Committee survey were to (a) assess RSNA members' general attitudes and experiences concerning patient-centered radiology, with specific attention paid to radiologist-to-patient communication; (b) examine the members' barriers to communicating more directly with patients; and (c) explore their perceptions of how such barriers can be overcome. Materials and Methods A total of 5999 radiologists were invited by e-mail to complete an anonymous electronic survey developed by the Steering Committee and the RSNA Department of Research. Participants were asked to identify aspects of patient-centered care important to their practice, report on their interactions with patients, and share their opinions on radiologist-patient communication. Statistical analyses were performed by using the χ test and analysis of variance. Results The response rate was 12% (n = 694, 109 invitations were undeliverable). Most respondents (89%, 611 of 684) agreed that promoting awareness of the role of radiology in patients' overall health care is important to how they practice. The majority (73%, 421 of 575) reported that time or workload frequently prevented them from communicating directly with patients. The majority (74%, 423 of 572) reported that a personal sense of satisfaction was likely to motivate them to communicate more directly with patients, but many commented that changes to reimbursement and compensation would help them communicate with patients more directly. Conclusion Many radiologists support the concept of communicating more directly with patients but report they are constrained by time or workload. Changes to reimbursement schemes may help mitigate these barriers to one crucial aspect of patient-centered care. RSNA, 2017 Online supplemental material is available for this article.
目的 北美放射学会（RSNA）以患者为中心的放射学指导委员会调查的目的是：(a)评估 RSNA 成员对以患者为中心的放射学的一般态度和经验，特别关注放射科医师与患者的沟通；(b)研究成员与患者直接沟通的障碍；(c)探讨如何克服这些障碍。 材料与方法 通过电子邮件向 5999 名放射科医师发出邀请，要求他们完成指导委员会和 RSNA 研究部开发的匿名电子调查。参与者被要求确定对其实践重要的以患者为中心的护理方面，报告与患者的互动情况，并分享他们对放射科医师与患者沟通的看法。统计分析采用 χ 检验和方差分析。 结果 回复率为 12%（n=694，109 份邀请无法送达）。大多数受访者（89%，611/684）认为，提高患者对放射科在整体医疗保健中作用的认识对他们的实践很重要。大多数（73%，421/575）报告说，时间或工作量经常妨碍他们与患者直接沟通。大多数（74%，423/572）表示，个人的满足感可能会激励他们更直接地与患者沟通，但许多人表示，改变报销和补偿方式将有助于他们更直接地与患者沟通。 结论 许多放射科医师支持更直接地与患者沟通的理念，但报告称他们受到时间或工作量的限制。报销方案的改变可能有助于缓解这一对以患者为中心的护理至关重要的方面的障碍。 RSNA，2017 在线补充材料可用于本文。
