Rogers Charlie, Willis Sophie, Gillard Steven, Chudleigh Jane
King's College London, London, UK.
Health Education England, Cambridge, UK.
Ultrasound. 2023 Aug;31(3):164-175. doi: 10.1177/1742271X221140024. Epub 2023 Jan 27.
Written reports are often the sole form of communication from diagnostic imaging. Reports are increasingly being accessed by patients through electronic records. Experiencing medical terminology can be confusing and lead to miscommunication, a decrease in involvement and increased anxiety for patients.
This systematic review was designed to include predefined study selection criteria and was registered prospectively on PROSPERO (CRD42020221734). MEDLINE, CINAHL, Academic Search Complete (EBSCOhost), EMBASE, Scopus and EThOS were searched to identify articles meeting the inclusion criteria. Studies were assessed against the Mixed-Methods Appraisal Tool version 2018 for quality. A segregated approach was used to synthesise data. A thematic synthesis of the qualitative data and a narrative review of the quantitative data were performed, and findings of both syntheses were then integrated.
Twelve articles reporting 13 studies were included. This review found that patients' experiences of imaging reports included positive and negative aspects. The study identified two main themes encompassing both qualitative and quantitative findings. Patients reported their experiences regarding their understanding of reports and self-management.
Patient understanding of imaging reports is multi factorial including medical terminology, communication aids and errors. Self-management through direct access is important to patients. While receiving bad news is a concern, responsibility for accessing this is accepted.
A patient-centred approach to writing imaging reports may help to improve the quality of service, patient experience and wider health outcomes.
书面报告往往是诊断成像唯一的沟通形式。患者越来越多地通过电子记录获取报告。医学术语可能令人困惑，导致沟通不畅、患者参与度降低和焦虑增加。
本系统评价旨在纳入预先定义的研究选择标准，并在PROSPERO（CRD42020221734）上进行前瞻性注册。检索了MEDLINE、CINAHL、学术搜索完整版（EBSCOhost）、EMBASE、Scopus和EThOS，以识别符合纳入标准的文章。根据2018年混合方法评估工具对研究质量进行评估。采用分离法进行数据综合。对定性数据进行主题综合，对定量数据进行叙述性综述，然后整合两种综合的结果。
纳入了12篇报告13项研究的文章。本综述发现，患者对影像报告的体验包括积极和消极方面。该研究确定了两个主要主题，涵盖定性和定量研究结果。患者报告了他们对报告理解和自我管理方面的经历。
患者对影像报告的理解是多因素的，包括医学术语、沟通辅助工具和错误。通过直接获取进行自我管理对患者很重要。虽然收到坏消息令人担忧，但患者接受获取此类信息的责任。
以患者为中心撰写影像报告的方法可能有助于提高服务质量、患者体验和更广泛的健康结果。
