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公众对介入放射学的认知:基于人群的当前状况分析及改善途径。

Public Awareness of Interventional Radiology: Population-Based Analysis of the Current State of and Pathways for Improvement.

机构信息

Division of Vascular and Interventional Radiology, Department of Radiology, The Ohio State University Wexner Medical Center, Columbus, Ohio.

Division of Vascular and Interventional Radiology, Department of Radiology, University of Washington, Seattle, Washington.

出版信息

J Vasc Interv Radiol. 2023 Jun;34(6):960-967.e6. doi: 10.1016/j.jvir.2023.01.033. Epub 2023 Feb 9.

Abstract

PURPOSE

To evaluate the awareness of interventional radiology (IR) among the public and identify methods for improvement.

MATERIALS AND METHODS

Participants (N = 1,000) were anonymously surveyed using Amazon's Mechanical Turk crowdsourcing platform about medical and IR-specific knowledge, preferred methods of acquisition of medical information, and suggestions for improving awareness of IR. The survey consisted of 69 questions, including both Likert Scale and free text questions.

RESULTS

Of the participants, 92% preferred undergoing a minimally invasive procedure over surgery. However, 39.8% recognized IR as a medical specialty, and less than 50% of these participants correctly identified IR as procedurally oriented. Of those who discussed or underwent an IR procedure (n = 113), most were also offered to undergo the procedure performed by a surgeon (n = 66). Furthermore, 71% (n = 20) of those who underwent the procedure performed by a surgeon reported that lack of awareness of IR played a role in their decision. Almost half of the respondents (n = 458) were interested in learning more about IR, particularly the diseases treated and procedures performed (42% and 37%, respectively). Short (<10-minute) educational videos and increased patient education by primary care providers (PCPs) were among the most suggested ways to improve awareness. Regarding the ambiguity of the name "interventional radiology," most respondents (n = 555) reported this to be true, and "minimally invasive radiologist" was the most preferred alternative (21.18%).

CONCLUSIONS

Lack of awareness of IR may underlie underutilization. When presented with the knowledge that IR improves patient outcomes, minimally invasive procedures by an interventional radiologist are more often desired by the public than surgical options. Educational videos and patient education by PCPs may increase awareness of IR.

摘要

目的

评估公众对介入放射学(IR)的认知,并确定改进方法。

材料与方法

参与者(N=1000)通过 Amazon 的 Mechanical Turk 众包平台匿名调查,内容涉及医学和 IR 专业知识、获取医学信息的首选方法,以及提高对 IR 认知的建议。调查共包含 69 个问题,包括李克特量表和自由文本问题。

结果

92%的参与者更倾向于接受微创治疗而非手术。然而,只有 39.8%的人将 IR 视为医学专科,其中不到 50%的人正确地将 IR 认定为以程序为导向的专科。在讨论或接受过 IR 治疗的 113 名患者中,大多数人还被建议接受外科医生进行的治疗(n=66)。此外,71%(n=20)的接受外科医生治疗的患者表示,对 IR 的认知不足影响了他们的决策。近一半的受访者(n=458)对了解更多关于 IR 的信息感兴趣,特别是所治疗的疾病和所进行的程序(分别为 42%和 37%)。简短(<10 分钟)的教育视频和初级保健提供者(PCP)增加患者教育是提高认知度的最建议方式之一。关于“介入放射学”这个名称的模糊性,大多数受访者(n=555)认为这是事实,“微创放射科医生”是最受欢迎的替代名称(21.18%)。

结论

对 IR 的认知不足可能是利用率低的原因。当公众了解到 IR 可以改善患者的治疗效果时,他们更倾向于选择由介入放射科医生进行的微创治疗,而不是手术治疗。教育视频和 PCP 患者教育可能会提高对 IR 的认知度。

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