Department of Radiology, Montefiore Medical Center, Bronx, NY.
Montefiore Medical Center/Albert Einstein College of Medicine, Bronx, NY. Electronic address: https://twitter.com/MDMoadel.
Curr Probl Diagn Radiol. 2020 Sep-Oct;49(5):326-332. doi: 10.1067/j.cpradiol.2020.02.003. Epub 2020 Feb 29.
To quantify the impact of direct patient-physician interaction within a nuclear medicine pretherapy consultation clinic on the patient experience.
Patients were asked to complete a survey before and after meeting with the nuclear medicine physician. During each visit, the physician provided disease-specific information, discussed the planned therapy, answered questions, and provided tip sheets and checklists to prepare the patient for therapy.
Thirty-eight patients were included in the analysis. Before consultation, 17 patients (44.7%) were "somewhat" or "extremely" familiar with the term "nuclear medicine doctor," whereas after the consultation, 33 patients (86.8%) were "somewhat" or "extremely" familiar with the term "nuclear medicine doctor" (P < 0.001). Thirteen patients (37.1%) felt they had either no understanding or a vague understanding of the therapy and no understanding of the plan for follow-up before the consultation, whereas 2 patients (5.4%) chose this response after the consultation (P < 0.001). More patients responded that they felt "generally" or "perfectly calm" toward the therapy overall after their consultation: 26 patients (68.4%) before vs 34 patients (91.9%) after consultation (P < 0.001).
Patient- and family-centered care in radiology includes direct physician participation in care delivery. In this report, we evaluate and measure the impact of our nuclear medicine pretherapy consultation clinic on the patient experience. We demonstrate significant impact of direct patient-physician encounters on patient anxiety, patient knowledge of the role of the nuclear medicine physician, and overall patient understanding of their treatment plan.
量化核医学治疗前咨询诊所中直接医患互动对患者体验的影响。
患者在与核医学医师会面前后被要求完成一项调查。在每次就诊中，医生提供特定疾病信息，讨论计划治疗方案，回答问题，并提供提示单和检查表，帮助患者为治疗做好准备。
共有 38 名患者纳入分析。在咨询前，17 名患者（44.7%）对“核医学医生”这个术语“有些”或“非常”熟悉，而在咨询后，33 名患者（86.8%）对“核医学医生”这个术语“有些”或“非常”熟悉（P<0.001）。在咨询前，13 名患者（37.1%）表示他们对治疗方法几乎没有理解或只有模糊的理解，对后续计划也几乎没有理解，而在咨询后，只有 2 名患者（5.4%）选择了这种回答（P<0.001）。更多的患者在咨询后表示他们对治疗整体感到“一般”或“非常平静”：26 名患者（68.4%）在咨询前，34 名患者（91.9%）在咨询后（P<0.001）。
放射科以患者和家庭为中心的护理包括医生直接参与护理服务。在本报告中，我们评估并衡量了我们的核医学治疗前咨询诊所对患者体验的影响。我们发现，直接的医患互动对患者焦虑、患者对核医学医师角色的了解程度以及患者对治疗计划的整体理解都有显著影响。
