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沟通和同理心技能:以患者为中心的放射科护理的基本要求。

Communication and empathy skills: Essential requisites for patient-centered radiology care.

机构信息

Department of Radiology, Zuyderland Medical Center, Heerlen, Sittard, Geleen, the Netherlands.

Department of Radiology, Nuclear Medicine and Molecular Imaging, University Medical Center Groningen, Groningen, the Netherlands.

出版信息

Eur J Radiol. 2021 Jul;140:109754. doi: 10.1016/j.ejrad.2021.109754. Epub 2021 May 3.

DOI:10.1016/j.ejrad.2021.109754
PMID:33964705
Abstract

PURPOSE

To investigate how patients value radiologists, using data from the Dutch healthcare assessment website.

METHOD

The Dutch healthcare assessment website was searched for patient reviews about radiologists in The Netherlands. The scores (scale of 1-10) assigned to the most recent review of each radiologist were extracted. All written reviews were assessed using standardized coding taxonomy, in the domains "clinical competencies" (including quality and safety of clinical care) and "relationships" (including communication with patients and humaneness/caring). For each category, it was assessed whether the review was positive or negative with regard to the performance of the radiologist.

RESULTS

217 of 941 radiologists (23 %) had been reviewed between 2017 and 2021. The total number of institutions to which these radiologists were affiliated was 75 (6 academic and 69 non-academic institutions). Median score assigned to each review was 9.6 (interquartile range 1.3, range 1-10). 74 of 217 radiologists (34 %) were given a maximum review score of 10. 29 of 217 radiologists (13 %) were given a review score of 5 or lower. The far majority of reviews concerned the categories communication (36 % of all positive patient reviews and 30 % of all negative patient reviews) and humaneness/caring (45 % of all positive patient reviews and 49 % of all negative patient reviews).

CONCLUSION

Radiologists are generally highly valued by patients, although there is room for improvement to decrease the number of negative patient experiences. Communication and empathy appear to be the most important skills on which radiologists are judged from a patient's perspective.

摘要

目的

利用荷兰医疗保健评估网站的数据,研究患者如何评价放射科医生。

方法

在荷兰医疗保健评估网站上搜索有关放射科医生的患者评价。提取每位放射科医生最新评价的评分(1-10 分制)。使用标准化编码分类法评估所有书面评价,评估领域为“临床能力”(包括临床护理的质量和安全性)和“关系”(包括与患者的沟通和人性化/关怀)。对于每个类别,评估评价对放射科医生表现的积极或消极程度。

结果

2017 年至 2021 年间,有 941 名放射科医生中的 217 名(23%)接受了评价。这些放射科医生所属机构的总数为 75 个(6 个学术机构和 69 个非学术机构)。每个评价的中位数得分为 9.6(四分位距 1.3,范围 1-10)。217 名放射科医生中有 74 名(34%)获得了 10 分的最高评价得分。217 名放射科医生中有 29 名(13%)获得了 5 分或更低的评价得分。绝大多数评价涉及沟通(36%的正面患者评价和 30%的负面患者评价)和人性化/关怀(45%的正面患者评价和 49%的负面患者评价)这两个类别。

结论

放射科医生普遍受到患者的高度重视,但仍有改进空间,以减少负面患者体验的数量。从患者的角度来看,沟通和同理心似乎是放射科医生最重要的评判技能。

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