Insights Imaging. 2021 Jan 7;12(1):6. doi: 10.1186/s13244-020-00943-x.
A survey of patients was carried out between January and June 2019, to better understand how patients interpret value in relation to radiology as a means to refining the concept of Value-Based Radiology (VBR) in Europe, ensure radiology's value is properly weighted in Value-Based Health Care (VBH) metrics, and maximise the value of radiological services to patients. The survey was disseminated via various heads of radiology departments, ESR officers, patient organisations, and ESR website and social media channels.
Responses were received from 400 patients from 22 countries. Whilst most expressed general satisfaction with the radiological services they received, certain aspects of the radiological services they received left room for improvement. Thirty-six percent of respondents reported that they were not satisfied with the information provided about the risks and benefits of procedures, and thirty-three percent reported not being satisfied with the availability of radiologists for consultation, potentially suggesting that some patients lack sufficient information to participate fully in treatment decisions. Patients were often unaware of what information they were entitled to receive. Over eighty percent of respondents were unfamiliar with the concepts of Value-Based Radiology and/or Value-Based Health Care.
In addition to procedural correctness (correct diagnosis, appropriate procedures performed), patients highly value information and communication with their radiologist (information provided about procedures, explanation of results, personal consultation). Lack of communication was found to be a cause of dissatisfaction in many cases. This could suggest a means of improving patient outcomes as measured by Value-Based Health Care metrics.
2019年1月至6月期间对患者进行了一项调查,以更好地了解患者如何理解与放射学相关的价值,作为在欧洲完善基于价值的放射学(VBR)概念的一种手段,确保放射学的价值在基于价值的医疗保健(VBH)指标中得到适当权衡,并使放射学服务对患者的价值最大化。该调查通过放射科各部门负责人、欧洲放射学会(ESR)官员、患者组织以及ESR网站和社交媒体渠道进行传播。
收到了来自22个国家的400名患者的回复。虽然大多数人对他们所接受的放射学服务总体表示满意,但他们所接受的放射学服务的某些方面仍有改进空间。36%的受访者表示对所提供的有关检查程序风险和益处的信息不满意,33%的受访者表示对放射科医生可供咨询的情况不满意,这可能表明一些患者缺乏足够信息来充分参与治疗决策。患者往往不知道他们有权获得哪些信息。超过80%的受访者不熟悉基于价值的放射学和/或基于价值的医疗保健概念。
除了程序正确性(正确诊断、执行适当的程序)外,患者高度重视与放射科医生的信息交流(提供有关检查程序的信息、结果解释、个人咨询)。在许多情况下,沟通不足被发现是导致不满的一个原因。这可能暗示了一种通过基于价值的医疗保健指标来改善患者治疗效果的方法。