介入放射学门诊（IROC）：临床影响和患者满意度。

Interventional Radiology Outpatient Clinics (IROC): Clinical Impact and Patient Satisfaction.

机构信息

Department of Interventional Radiology, University Hospital of Strasbourg, 1 place de l'hôpital, BP 426, 67091, Strasbourg, Cedex, France.

Vascular and Interventional Radiology Unit, Department of Diagnostic Radiological, Oncological and Anatomopathological Sciences, Sapienza University of Rome, Viale del Policlinico, 155, 00161, Rome, Italy.

出版信息

Cardiovasc Intervent Radiol. 2021 Jan;44(1):118-126. doi: 10.1007/s00270-020-02677-1. Epub 2020 Oct 21.

DOI:10.1007/s00270-020-02677-1

PMID:33089359

Abstract

PURPOSE

To retrospectively analyze our interventional radiology outpatient clinics (IROC) for referral patterns, impact on interventional practice, and patient satisfaction.

MATERIALS AND METHODS

Consultations performed between 2011 and 2019 were extracted. The two consecutive years with the highest number of consultations (n = 1426; n = 1595) were compared for unattended consultations (i.e., scheduled consultations with patients not showing-up); initial/follow-up consultations; hospital clinician/general practitioner referrals; initial consultations with radiologists not recommending interventions; procedural conversion rate (PCR; i.e., No. initial consultations resulting in interventions over the total number of initial consultations performed for the same clinical indication). A survey was conducted in 159 patients to determine their satisfaction.

RESULTS

Consultations increased from 2011 to 2019 by 130%. In 2018-2019, the number of unattended consultations was stable (7.0% vs 6.6%; P = .68). The referrals were for back pain (42.2%), interventional oncology (40.5%), and arteriovenous malformations (9.0%). For back pain, in 2019, there were fewer consultations with radiologists not recommending interventions and increased PCR compared to 2018 (11.9% vs. 17.7%; 88.1% vs. 82.3%; respectively; P = .01). For interventional oncology, follow-up consultations and general practitioner referrals increased in 2019 compared to 2018 (43.0% vs 35.3%; P = .01; 24.4% vs. 12.7%; P < .01; respectively). No other changes were noted. Cumulative 2018-2019 PCR was ≥ 85.4%. 99.2% responders highly appreciated their IROC experience. Quality of secretarial and medical services were the main aspects evaluated to rate the experience with IROC.

CONCLUSION

IROC results in high PCR. Recent changes in referral/impact on IR practice were noted with patients referred for back pain and interventional oncology.

LEVEL OF EVIDENCE IV

Level 4, Case Series.

摘要

目的

回顾性分析我们的介入放射学门诊（IROC）的转诊模式、对介入实践的影响和患者满意度。

材料与方法

提取 2011 年至 2019 年期间的就诊记录。比较连续两年就诊量最高的（n=1426；n=1595）未到场就诊（即未到场的预约就诊）、初诊/复诊、医院临床医生/全科医生转诊、初诊时放射科医生不建议介入治疗、操作转化率（PCR；即同一临床指征下初始就诊中实施介入治疗的比例）的差异。对 159 名患者进行了一项调查，以确定他们的满意度。

结果

就诊量从 2011 年到 2019 年增长了 130%。2018-2019 年，未到场就诊的比例稳定（7.0%比 6.6%；P=0.68）。转诊原因主要为背痛（42.2%）、介入肿瘤学（40.5%）和动静脉畸形（9.0%）。对于背痛，与 2018 年相比，2019 年放射科医生不建议介入治疗的初诊数量减少，PCR 增加（11.9%比 17.7%；88.1%比 82.3%；P=0.01）。对于介入肿瘤学，与 2018 年相比，2019 年复诊和全科医生转诊增加（43.0%比 35.3%；P=0.01；24.4%比 12.7%；P<0.01；分别）。未观察到其他变化。2018-2019 年累积 PCR≥85.4%。99.2%的应答者高度赞赏他们的 IROC 体验。秘书和医疗服务质量是评估 IROC 体验的主要方面。