Quentin T Moore, PhD, R.T.(R)(T)(QM), is director of imaging sciences and associate professor for Mercy College of Ohio.
Radiol Technol. 2022 Jul-Aug;93(6):532-543.
To examine whether radiologic technologists' perceptions of imaging appropriateness differed based on their primary imaging modality, work shift, shift length, and primary practice type.
A national, cross-sectional study was conducted in the fourth quarter of 2019 using a simple, randomized sample of American Society of Radiologic Technologists (ASRT) members. Study participants were employed in health care settings in radiography, computed tomography (CT), mammography, or radiology leadership. Seven potential reasons for inappropriate imaging procedures (ie, patient expectations, provide patient with a feeling of being taken seriously, lack of time, expectations from relatives, compensation for insufficient clinical examination, normal findings would reassure the patient, and fear of lawsuits) were evaluated for relationships with their primary imaging modality, work shift, shift length, and primary practice type.
Disparities in perceived reasons affecting imaging appropriateness were found. Providing the patient with a feeling of being taken seriously was related to primary practice type ( = .022). Lack of time was related to primary imaging modality ( = .005) and primary practice type ( = .006). Expectations from relatives was related to primary imaging modality ( = .016) and primary practice type ( = .027). Compensation for insufficient clinical examination was related to primary imaging modality ( < .001), shift length ( = .011), work shift ( = .002), and primary practice type ( < .001). Fear of lawsuits was related to primary imaging modality ( = .001)) and work shift ( = .002).
The study reveals that radiologic technologists' perceptions of patient-centered factors and defensive medicine-related factors differ among imaging modalities, shift types, and practice settings. However, more research is required to determine why radiologic technologists perceive these reasons to be present, investigate whether providers feel similarly, and determine perceptual alignment with evidence-based guidelines.
The findings suggest that attention should focus on the appropriateness of CT imaging procedures performed in hospitals during night shifts.
探讨放射技师对影像适宜性的看法是否因主要成像方式、工作班次、班次长度和主要执业类型而异。
2019 年第四季度，采用美国放射技师协会（ASRT）成员的简单随机抽样，进行了一项全国性的横断面研究。研究参与者受雇于放射科、计算机断层扫描（CT）、乳房 X 光摄影或放射科领导的医疗保健机构。评估了 7 种可能导致影像检查不适当的原因（即患者的期望、让患者感到被重视、时间不足、亲属的期望、对临床检查不足的补偿、正常发现会使患者安心、以及担心法律诉讼）与主要成像方式、工作班次、班次长度和主要执业类型的关系。
发现对影响影像适宜性的原因的看法存在差异。让患者感到被重视与主要执业类型有关（ =.022）。时间不足与主要成像方式（ =.005）和主要执业类型（ =.006）有关。亲属的期望与主要成像方式（ =.016）和主要执业类型（ =.027）有关。对临床检查不足的补偿与主要成像方式（ <.001）、班次长度（ =.011）、工作班次（ =.002）和主要执业类型（ <.001）有关。担心法律诉讼与主要成像方式（ =.001）和工作班次（ =.002）有关。
该研究表明，放射技师对以患者为中心的因素和与防御性医疗相关的因素的看法因成像方式、班次类型和执业环境而异。然而，需要进一步研究以确定为什么放射技师认为这些原因存在，调查提供者是否有同样的感受，并确定与基于证据的指南的感知一致性。
研究结果表明，应关注夜间医院进行的 CT 影像检查程序的适宜性。
