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中文译文:一项横断面研究:CT 和 MRI 门诊患者以患者为中心的预备信息提供的流行率及其相关因素。

Prevalence and correlates of patient-centred preparatory information provision to computed tomography and magnetic resonance imaging outpatients: A cross-sectional study.

机构信息

Health Behaviour Research Collaborative, School of Medicine and Public Health, Faculty of Health and Medicine, University of Newcastle, Callaghan, Australia; Priority Research Centre for Health Behaviour, University of Newcastle, Callaghan, Australia; Hunter Medical Research Institute, New Lambton Heights, Australia.

Health Behaviour Research Collaborative, School of Medicine and Public Health, Faculty of Health and Medicine, University of Newcastle, Callaghan, Australia; Priority Research Centre for Health Behaviour, University of Newcastle, Callaghan, Australia; Hunter Medical Research Institute, New Lambton Heights, Australia.

出版信息

Patient Educ Couns. 2018 Oct;101(10):1814-1822. doi: 10.1016/j.pec.2018.05.025. Epub 2018 Jun 2.

Abstract

OBJECTIVE

Responsiveness to information preferences is key to high-quality, patient-centred care. This study examined the top ten preparatory information items not delivered in accordance with medical imaging outpatients' preferences, and patient characteristics associated with reporting a greater number of unmet information preferences.

METHODS

Magnetic resonance imaging and computed tomography outpatients were recruited consecutively in one major public hospital waiting room. Participants self-administered a touchscreen computer questionnaire assessing their sociodemographic and scan characteristics, and unmet preferences for 33 guideline-endorsed preparatory information items.

RESULTS

Of 317 eligible patients, 280 (88%) consented to participate. Given equal rankings, the top ten unmet information preferences included 13 items which were endorsed by at least 25% of participants, and commonly related to receiving 'too little' information. One item related to the pre-scan period, seven items to the scan period and five items to the post-scan period. None of the patient characteristics examined were significantly associated with reporting a greater number of unmet information preferences.

CONCLUSION

There is room to improve responsiveness to medical imaging outpatients' preparatory information preferences. Improvements should be targeted at individuals, rather than groups defined by sociodemographic or scan characteristics.

PRACTICE IMPLICATIONS

A standardised approach to addressing individual patient's information preferences is needed.

摘要

目的

响应信息偏好是提供高质量、以患者为中心的医疗服务的关键。本研究调查了不符合医学影像学门诊患者偏好的十大预备信息项目,以及与报告更多未满足信息偏好相关的患者特征。

方法

在一家主要公立医院的候诊室连续招募磁共振成像和计算机断层扫描门诊患者。参与者通过触摸屏电脑自行完成一份问卷调查,评估他们的社会人口统计学和扫描特征,以及 33 项指南认可的预备信息项目中未满足的偏好。

结果

在 317 名符合条件的患者中,有 280 名(88%)同意参与。在同等排名下,十大未满足的信息偏好包括 13 项,至少有 25%的参与者表示赞同,且通常与“信息过少”有关。一项与扫描前期间有关,七项与扫描期间有关,五项与扫描后期间有关。所检查的患者特征均与报告更多未满足的信息偏好无显著相关性。

结论

在满足医学影像学门诊患者预备信息偏好方面还有改进的空间。改进应针对个人,而不是根据社会人口统计学或扫描特征定义的群体。

实践意义

需要采用标准化方法来满足患者的个人信息偏好。

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