Stevens B J
Radiology, Walsall Healthcare NHS Trust, Manor Hospital, Moat Road, Walsall, West Midlands WS2 9PS, UK.
Radiography (Lond). 2019 Aug;25(3):214-219. doi: 10.1016/j.radi.2019.01.006. Epub 2019 Feb 7.
Radiographers have been providing reporting solutions for a number of years. Given the persistent radiologist vacancies and the increased demand on imaging services, the utilisation of reporting radiographers is widespread across England. Capacity and demand issues may lead to reporting boundaries being extended. The aim was to generate an updated appraisal of participants' scopes of practice in the West Midlands of region of England.
Reporting radiographers at 11 healthcare institutions across the West Midlands region were invited to participate in an online survey. Topics covered included reporting scope of practice, onward referrals and suggestion of treatments. Descriptive statistics were generated in Microsoft Excel and free responses were analysed manually.
Response rate was 47% (40/86). The majority (n = 34, 85%) report Emergency Department skeletal examinations, only 12 (30%) report adult chests and only three (8%) report paediatric chests. Of those permitted to refer to other modalities, 85% (n = 23/27) actively do so. Of those permitted to refer to specialist teams, 97% (n = 31/32) actively do so. Only 23% of all participants (n = 9/40) suggest treatments in their reports.
An increased number of participants report chest and abdominal examinations than previously identified. Restrictions in paediatric scopes of practice and adult GP chest examinations are also evident. Participants stated they do include recommendations in their reports by referring to other modalities and for specialist opinions. Suggesting treatment is not common practice and is considered an area for further advancement.
多年来,放射技师一直在提供报告服务。鉴于放射科医生持续空缺以及对影像服务的需求增加,报告放射技师在英格兰各地得到了广泛应用。能力和需求问题可能导致报告范围扩大。目的是对英格兰西米德兰兹地区参与者的执业范围进行最新评估。
邀请西米德兰兹地区11家医疗机构的报告放射技师参与在线调查。涵盖的主题包括报告执业范围、进一步转诊和治疗建议。在Microsoft Excel中生成描述性统计数据,并对自由回答进行人工分析。
回复率为47%(40/86)。大多数(n = 34,85%)报告急诊科骨骼检查,只有12人(30%)报告成人胸部检查,只有3人(8%)报告儿科胸部检查。在被允许转诊至其他检查方式的人中,85%(n = 23/27)积极进行转诊。在被允许转诊至专科团队的人中,97%(n = 31/32)积极进行转诊。在所有参与者中,只有23%(n = 9/40)在报告中提出治疗建议。
报告胸部和腹部检查的参与者数量比之前确定的有所增加。儿科执业范围和成人全科医生胸部检查的限制也很明显。参与者表示,他们确实通过提及其他检查方式和寻求专科意见在报告中纳入了建议。提出治疗建议并非常见做法,被认为是一个有待进一步改进的领域。