Department of Radiology, Michigan Medicine, Ann Arbor, Michigan; Michigan Radiology Quality Collaborative, Ann Arbor, Michigan.
Michigan Medicine, Patient and Family Centered Care, Ann Arbor, Michigan.
J Am Coll Radiol. 2018 Feb;15(2):274-281. doi: 10.1016/j.jacr.2017.09.017. Epub 2017 Nov 10.
To measure patient willingness to wait and emotional disutility of waiting for outpatient imaging test results.
A prospective HIPAA-compliant multicenter outpatient quality improvement survey was administered by a trained interviewer to 218 outpatients from November 1, 2016, to February 1, 2017. The survey was vetted by patient- and family-centered care advocates with experience in survey design and underwent precognitive testing for readability. Six clinical scenarios were tested. Descriptive statistics were calculated.
The response (93% [202 of 218]) and completion (93% [188 of 202]) rates were excellent. Anxiety (28% [57 of 202]), depression (26% [53 of 202]), and cancer (23% [46 of 202]) histories were common. Median stated expectations for imaging test results receipt were 3 days after a screening examination (interquartile range [IQR] 5 days); 2 days after chest x-ray for chest pain (IQR 3) or MRI or CT for back pain (IQR 2); and 1 day after chest x-ray for pneumonia (IQR 2), MRI or CT for brain tumor (IQR 2), or CT for cancer treatment (IQR 3). If imaging results are not received, the median time patients stated they would wait to call their provider was 1 to 5 days (varied by indication). Waiting for imaging results exerts an emotional change in 45% (91 of 202) of individuals, with the majority (85% [77 of 91]) experiencing anxiety (minimal 28%, mild 45%, moderate 22%, severe 4%, extreme 1%).
Patients expect outpatient imaging results within 1 to 3 days and will call providers by 1 to 5 days. Waiting for test results commonly induces anxiety.
测量患者对外科门诊影像检查结果的等待意愿和等待的情绪负效用。
2016 年 11 月 1 日至 2017 年 2 月 1 日，采用经过 HIPAA 认证的多中心门诊质量改进前瞻性调查，由经过培训的访谈员对 218 名门诊患者进行调查。该调查由具有调查设计经验的以患者和家庭为中心的护理倡导者进行审查，并进行了前瞻性测试以确保可读性。测试了 6 个临床场景。计算了描述性统计数据。
应答率（93%[218 例中的 202 例]）和完成率（93%[202 例中的 188 例]）均很高。焦虑症（28%[202 例中的 57 例]）、抑郁症（26%[202 例中的 53 例]）和癌症（23%[202 例中的 46 例]）病史很常见。患者对外科门诊影像检查结果的预期中位数为筛检检查后 3 天（四分位距 [IQR]，5 天）；胸部 X 线检查后胸痛为 2 天（IQR，3 天），或 MRI 或 CT 检查背痛为 2 天（IQR，2 天）；肺炎胸部 X 线检查后为 1 天（IQR，2 天），脑肿瘤 MRI 或 CT 检查后为 2 天（IQR，2 天），癌症治疗后 CT 检查后为 3 天（IQR，3 天）。如果未收到影像结果，患者表示将等待 1 至 5 天（因检查指征而异）再联系他们的医生。等待影像结果会导致 45%（202 例中的 91 例）的个体出现情绪变化，其中大多数（85%[91 例中的 77 例]）感到焦虑（轻度 28%，中度 45%，中度 22%，重度 4%，极度 1%）。
患者期望在 1 至 3 天内获得门诊影像结果，并在 1 至 5 天内联系医生。等待检查结果通常会引起焦虑。
