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一项探索美国影像检查中患者体验结局的放射科医生和放射技师认知的定性研究。

Qualitative study to explore radiologist and radiologic technologist perceptions of outcomes patients experience during imaging in the USA.

机构信息

Department of Family Medicine, University of Washington, Seattle, Washington, USA

Department of Psychiatry and Behavioral Sciences, Stanford University, Stanford, California, USA.

出版信息

BMJ Open. 2020 Jul 20;10(7):e033961. doi: 10.1136/bmjopen-2019-033961.

DOI:10.1136/bmjopen-2019-033961
PMID:32690729
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7375501/
Abstract

OBJECTIVE

We aimed to explore the patient-centred outcomes (PCOs) radiologists and radiologic technologists perceive to be important to patients undergoing imaging procedures.

DESIGN

We conducted a qualitative study of individual semi-structured interviews.

PARTICIPANTS

We recruited multiple types of radiologists including general, musculoskeletal neuroradiology, body and breast imagers as well as X-ray, ultrasound, CT or MRI radiologic technologists from Washington and Idaho.

OUTCOME

Thematic analysis was conducted to identify themes and subthemes related to PCOs of imaging procedures.

RESULTS

Ten radiologists and six radiology technologists participated. Four main domains of PCOs were identified: emotions, physical factors, knowledge and patient burden. In addition to these outcomes, we also identified patient and provider factors that can potentially moderate these outcomes.

CONCLUSIONS

Radiologists and technologists perceived outcomes related to the effect of imaging procedures on patients' emotions, physical well-being, knowledge and burden from financial and opportunity costs to be important to patients undergoing imaging procedures. There are opportunities for the radiology community to measure and use these PCOs in comparisons of imaging procedures and potentially identify areas where these outcomes can be leveraged to drive a more patient-centred approach to radiology.

摘要

目的

本研究旨在探讨影像检查患者认为重要的以患者为中心的结局(PCOs)。

设计

我们进行了一项个体半结构式访谈的定性研究。

参与者

我们从华盛顿州和爱达荷州招募了多种类型的放射科医生,包括普通放射科医生、骨骼肌肉神经放射科医生、体部和乳腺成像医生以及 X 线、超声、CT 或 MRI 技师。

结果

共纳入 10 名放射科医生和 6 名放射技师。确定了与影像检查 PCOs 相关的四个主要领域:情绪、身体因素、知识和患者负担。除了这些结果外,我们还确定了可能调节这些结果的患者和提供者因素。

结论

放射科医生和技师认为,影像检查对患者情绪、身体状况、知识和经济及机会成本相关负担的影响相关的结果对接受影像检查的患者很重要。放射学界有机会测量和使用这些 PCOs 来比较影像检查,并有可能确定可以利用这些结果的领域,以推动以患者为中心的放射学方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a889/7375501/f56015548cca/bmjopen-2019-033961f01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a889/7375501/f56015548cca/bmjopen-2019-033961f01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a889/7375501/f56015548cca/bmjopen-2019-033961f01.jpg

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