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沟通乳腺 X 光检查结果:女性希望以何种方式和多快的速度获得其筛查性乳腺 X 光检查结果?

Communicating Mammography Results: By What Method and How Quickly Do Women Want Their Screening Mammogram Results?

机构信息

Department of Radiology, Virginia Commonwealth University Health System, Richmond, Virginia.

Virginia Commonwealth University School of Medicine, Richmond, Virginia.

出版信息

J Am Coll Radiol. 2019 Jul;16(7):928-935. doi: 10.1016/j.jacr.2018.12.006. Epub 2019 Feb 14.

Abstract

The purpose of the survey study was to understand the majority preference with regards to the wait time for screening mammogram results, whether prompt communication of mammogram results was of importance to patients, whether the time frame to schedule an additional imaging follow-up appointment after an abnormal screening mammogram was important to patients, and how patients preferred to be given their screening mammogram results. There were 2,245 patients who participated in the survey. A majority of patients preferred to receive screening mammogram results on Friday (n = 1,868, 85.4%), even if their mammogram was abnormal, requiring a follow-up appointment that could not be scheduled until the following week. Most individuals preferred to schedule their follow-up appointments soon after their initial appointment, preferring either the next day or within 1 to 2 days. Finally, over half of the sample preferred to be contacted via a telephone call, with letter and text messaging being the next most preferred methods and e-mail being the least preferred. Survey results suggest that the preferred wait time for screening mammogram results was either to wait at the time of screening mammogram appointment or to receive results within 48 hours. These suggestions can help clinics and providers make changes to how they communicate screening mammogram results. The strong preference of patients receiving their screening mammogram results more promptly should help trigger alternative methods toward improving communication between the radiologist and the patient.

摘要

这项调查研究的目的是了解大多数人对于筛检乳房 X 光摄影结果等待时间的偏好,即快速沟通乳房 X 光摄影结果是否对患者重要,在筛检乳房 X 光摄影异常后安排额外影像随访预约的时间框架是否对患者重要,以及患者希望如何获知筛检乳房 X 光摄影结果。共有 2245 名患者参与了这项调查。大多数患者(n=1868,85.4%)希望在星期五获知筛检乳房 X 光摄影结果,即使他们的乳房 X 光摄影异常,需要预约后续检查,而该检查最早只能在下周安排。大多数人希望在首次预约后尽快安排后续预约,首选是次日或 1 到 2 天后。最后,超过一半的样本更喜欢通过电话联系,其次是信件和短信,而电子邮件则是最不受欢迎的方式。调查结果表明,筛检乳房 X 光摄影结果的理想等待时间要么是在筛检乳房 X 光摄影预约时等待,要么是在 48 小时内收到结果。这些建议可以帮助诊所和医疗机构改变他们沟通筛检乳房 X 光摄影结果的方式。患者更希望快速获知筛检乳房 X 光摄影结果,这一强烈偏好应该有助于触发改善放射科医生与患者之间沟通的替代方法。

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