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为什么病理学家不给我一个诊断?解读头颈部病理报告中的不确定性。

Why won't the pathologist give me a diagnosis? Interpreting uncertainty in head and neck pathology reports.

机构信息

Unit of Oral and Maxillofacial Pathology, Floor E, The School of Clinical Dentistry, University of Sheffield, 19 Claremont Crescent, Sheffield S10 2TA, United Kingdom.

出版信息

Br J Oral Maxillofac Surg. 2022 Jun;60(5):577-583. doi: 10.1016/j.bjoms.2021.10.009. Epub 2021 Oct 29.

Abstract

Pathology reports often contain elements of uncertainty, and communication between clinicians and pathologists is paramount for providing the best patient care. Surveys were given to pathology service-users and pathologists to ascertain confidence levels regarding certain phrases used in pathology reports. A focus group then met with pathologists to gain insight into why certain phrases are used and the challenges that are faced in presenting an uncertain diagnosis. Whilst most of the phrases were interpreted similarly between service-users and pathologists, some elicited more variation in confidence than others, suggesting that the message conveyed in pathology reports is not always interpreted the way it is intended to be.

摘要

病理报告中常常包含不确定因素,临床医生和病理学家之间的沟通对于提供最佳的患者护理至关重要。我们向病理服务用户和病理学家进行了调查,以确定他们对病理报告中使用的某些短语的信心水平。然后,一个焦点小组与病理学家会面,以深入了解为什么使用某些短语以及在提出不确定诊断时面临的挑战。尽管服务用户和病理学家对大多数短语的解释相似,但有些短语的信心差异较大,这表明病理报告中传达的信息并不总是按照预期的方式被理解。

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