Diversified Radiology of Colorado, 1746 Cole Blvd #150, Lakewood, CO 80401.
Department of Radiology, Rose Medical Center, Denver, CO.
AJR Am J Roentgenol. 2020 Jun;214(6):1311-1315. doi: 10.2214/AJR.19.22264. Epub 2020 Apr 14.
The study objectives were to evaluate the percentage of patients interested in immediate radiologic results and to measure patient anxiety and hospital loyalty with this program in a private practice community hospital setting. Between December 2018 and May 2019, 100 patients 18-89 years old with a primary diagnosis of abdominal pain had imaging orders for CT, ultrasound, or nuclear medicine-hepatobiliary iminodiacetic acid scans and subsequently were asked if they wanted immediate results. Those who opted for immediate results were given a two-question survey before and after results delivery that asked about their anxiety level and imaging center loyalty. Data were entered using SurveyMonkey (SVMK) and analyzed using SAS software (version 9.4, SAS Institute). The majority (78%) of patients wanted immediate results. There were statistically significant differences in anxiety level before and after results delivery; 37% ( < 0.001) reported decreased anxiety after receiving imaging results, whereas 57% reported no change in anxiety ( < 0.001). The decision whether to come back to this imaging center (hospital loyalty) did not change before and after test results; 85% of participants strongly agreed that they would return. It is feasible for private practice radiologists to discuss CT, ultrasound, or nuclear medicine imaging results with patients in a community hospital setting. The majority of patients preferred immediate results over traditional methods of notification. Most patients reported anxiety about their imaging results, and a statistically significant number had decreased anxiety after discussing results with radiologists.
研究目的在于评估对即时影像学结果感兴趣的患者比例,并在私人执业社区医院环境中通过该项目衡量患者的焦虑程度和医院忠诚度。在 2018 年 12 月至 2019 年 5 月期间,100 名年龄在 18 至 89 岁之间、主要诊断为腹痛的患者接受了 CT、超声或核医学-肝胆酸扫描的影像学检查,并随后被问及是否希望获得即时结果。选择即时结果的患者在获得结果前后会接受两项关于其焦虑程度和影像中心忠诚度的问卷调查。数据使用 SurveyMonkey(SVMK)录入,并使用 SAS 软件(版本 9.4,SAS 研究所)进行分析。大多数(78%)患者希望获得即时结果。在获得结果前后,焦虑程度存在统计学差异;37%(<0.001)的患者在收到影像学结果后焦虑程度降低,而 57%的患者焦虑程度无变化(<0.001)。在获得检测结果前后,是否决定回到该影像中心(医院忠诚度)没有变化;85%的参与者强烈表示他们会回来。在社区医院环境中,私人执业放射科医生与患者讨论 CT、超声或核医学成像结果是可行的。大多数患者更喜欢即时结果,而不是传统的通知方式。大多数患者对自己的影像学结果感到焦虑,而且有相当数量的患者在与放射科医生讨论结果后焦虑程度降低。