Department of Radiology, Paracelsus Medical University Salzburg, Müllner Hauptstraße 48, A-5020, Salzburg, Austria.
Institute of Radiology and Nuclear Medicine, Hirslanden Klinik St. Anna, St. Anna-Strasse 32, 6006, Lucerne, Switzerland.
Eur Radiol. 2019 Jan;29(1):224-231. doi: 10.1007/s00330-018-5503-2. Epub 2018 Jun 25.
To investigate patients' perception of the radiology service when the radiologist communicates the findings to patients.
After routine MRI, patients in group 1 (n = 101) were given the opportunity to discuss the findings with the radiologist. Patients in group 2 (n = 101) left the radiology department without any personal communication. Subsequently, by means of a questionnaire designed by an expert psychologist, both groups were asked regarding their anxiety, emotional attachment to the institute and subjective assessment of competence.
Overall 76 % of all patients were concerned about their imaging findings without significant difference between both groups (p = 0.179). Significantly more patients in group 1 (81%) versus group 2 (14%; p < 0.001) perceived the opportunity to discuss their imaging findings with a radiologist to be a characteristic of a good radiology consultation. A larger number of patients in group 1 experienced significantly higher bonding and only wanted in the future to be examined in the department with communication (p = 0.001) (93%/75%). Significantly more patients in group 1 regarded the radiology department they attended as being more competent (mean score 4.72/4.09, p < 0.001).
Direct communication of imaging findings from radiologists to patients after an MRI examination leads to increased confidence in the radiology service and higher bonding between the patient and radiologist. Radiologists who refrain from direct communication have a lower bonding to patients and are assessed to have lower competence from the patient's point of view.
• Communication between radiologists and patients leads to an increased bonding affinity. • Direct communication leads to increased patient confidence in the radiology service. • Patients perceived discussion with a radiologist of high value.
探讨放射科医生向患者报告影像学检查结果时患者对放射科服务的感知。
在常规 MRI 检查后，将组 1（n=101）的患者提供与放射科医生讨论检查结果的机会。组 2（n=101）的患者在离开放射科时没有进行任何个人沟通。随后，通过专家心理学家设计的问卷，两组患者都被问及他们的焦虑程度、对机构的情感依恋以及对能力的主观评估。
总体而言，所有患者中有 76%对其影像学检查结果感到担忧，两组之间无显著差异（p=0.179）。组 1（81%）中有明显更多的患者比组 2（14%；p<0.001）认为有机会与放射科医生讨论其影像学检查结果是放射科咨询的一个特点。组 1 中有更多的患者经历了明显更高的联系，并且只希望在未来能在有沟通的部门进行检查（p=0.001）（93%/75%）。组 1 中有更多的患者认为他们所就诊的放射科更有能力（平均得分 4.72/4.09，p<0.001）。
在 MRI 检查后，放射科医生直接向患者报告影像学检查结果会导致患者对放射科服务的信心增强，并且放射科医生与患者之间的联系更加紧密。放射科医生如果避免直接沟通，与患者的联系就会减少，并且从患者的角度来看，他们的能力也会被评估为较低。
• 放射科医生与患者之间的沟通会增加亲和力。
• 直接沟通会增加患者对放射科服务的信心。
• 患者认为与放射科医生讨论具有很高的价值。
