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[以患者为中心与以员工为中心的放射学:这会引发冲突吗?]

[Patient-centered vs. employee-centered radiology : Does this pose a conflict?].

作者信息

Baalmann Markus, Müller Lukas, Afat Saif, Molwitz Isabel, Palm Viktoria, Rischen Robert

机构信息

Klinik und Poliklinik für Diagnostische und Interventionelle Radiologie und Nuklearmedizin, Universitätsklinikum Hamburg-Eppendorf, Martinistraße 52, 20246, Hamburg, Deutschland.

Klinik und Poliklinik für Diagnostische und Interventionelle Radiologie, Universitätsmedizin der Johannes Gutenberg-Universität Mainz, Mainz, Deutschland.

出版信息

Radiologie (Heidelb). 2023 Sep;63(9):650-656. doi: 10.1007/s00117-023-01195-8. Epub 2023 Aug 11.

DOI:10.1007/s00117-023-01195-8
PMID:37566129
Abstract

BACKGROUND

Patient-centered radiology and employee-centered radiology are being increasingly discussed as an extension of the established structure- and process-oriented management perspective. Concerning potential conflicts, it is unclear if and how these approaches should best be implemented in a radiology department.

OBJECTIVE

The aim of this narrative review is to identify and critically correlate underlying characteristics of patient-centered and employee-centered approaches including their similarities, conflicts, and synergies as applicable to the radiological work environment.

MATERIALS AND METHODS

Based on a literature search using PubMed, Scopus, Web of Science, and Google Scholar, the current body of knowledge regarding patient- and employee-centered radiology is presented.

RESULTS

Patient- and employee-centered radiology focus on the individual needs of patients and employees, respectively, and promise to improve patient satisfaction, healthcare outcomes, and organizational performance. Conflicts result from an increased organizational complexity and the concurrent utilization of limited resources, such as time, money, and staff. Overall, however, synergies outweigh the potential conflicts.

CONCLUSIONS

Successful implementation of patient- and employee-centered approaches in radiology requires a human-centered leadership approach and an overarching strategy with the execution of specific interventions in the processes. We provide specific recommendations to this effect.

摘要

背景

以患者为中心的放射学和以员工为中心的放射学作为既定的以结构和过程为导向的管理视角的延伸,正受到越来越多的讨论。关于潜在冲突,目前尚不清楚这些方法是否以及如何在放射科得到最佳实施。

目的

本叙述性综述的目的是识别并批判性地关联以患者为中心和以员工为中心的方法的潜在特征,包括它们在放射学工作环境中的相似性、冲突和协同作用。

材料与方法

基于使用PubMed、Scopus、科学网和谷歌学术进行的文献检索,介绍了当前关于以患者为中心和以员工为中心的放射学的知识体系。

结果

以患者为中心的放射学和以员工为中心的放射学分别关注患者和员工的个体需求,并有望提高患者满意度、医疗保健结果和组织绩效。冲突源于组织复杂性的增加以及对时间、资金和人员等有限资源的同时利用。然而,总体而言,协同作用超过了潜在冲突。

结论

在放射学中成功实施以患者为中心和以员工为中心的方法需要以人为本的领导方法以及在流程中执行特定干预措施的总体战略。为此,我们提供了具体建议。

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本文引用的文献

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"This Won't Hurt a Bit": Is There a Role for Music in Bedside Procedures?“这不会疼的”:音乐在床边操作中能发挥作用吗?
Crit Care Explor. 2023 Apr 5;5(4):e0900. doi: 10.1097/CCE.0000000000000900. eCollection 2023 Apr.
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Vision, Development, and Structure of the First German Specialist Training Curriculum for Radiology.
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Work and Training Conditions of German Residents and Young Radiologists in Interventional Radiology - A Nationwide Survey.德国介入放射科住院医师和年轻放射科医师的工作和培训条件——一项全国性调查。
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Key Indicators Affecting Hospital Efficiency: A Systematic Review.影响医院效率的关键指标:一项系统综述。
Front Public Health. 2022 Mar 14;10:830102. doi: 10.3389/fpubh.2022.830102. eCollection 2022.
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Patient Centered Radiology - An Introduction in Form of a Narrative Review.以叙事评论形式呈现的以患者为中心的放射学:简介。
Rofo. 2022 Aug;194(8):873-881. doi: 10.1055/a-1735-3552. Epub 2022 Feb 23.
6
Patient-Friendly Radiology Reporting-Implementation and Outcomes.患者友好型放射学报告——实施与结果。
J Am Coll Radiol. 2022 Feb;19(2 Pt B):377-383. doi: 10.1016/j.jacr.2021.10.008.
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Assessment and correlation between job satisfaction and burnout among radiographers.放射技师工作满意度与职业倦怠评估及相关性分析。
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Restructuring of a Hospital Radiology Department: Subspecialization Between Man, Machine, and Multidisciplinary Board.医院放射科的重组:人员、设备与多学科委员会之间的亚专业分工
Rofo. 2022 Feb;194(2):152-159. doi: 10.1055/a-1545-4713. Epub 2021 Oct 21.
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Communication and empathy skills: Essential requisites for patient-centered radiology care.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。
Eur J Radiol. 2021 Jul;140:109754. doi: 10.1016/j.ejrad.2021.109754. Epub 2021 May 3.
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Direct communication between radiologists and patients improves the quality of imaging reports.放射科医生与患者之间的直接沟通可提高影像报告质量。
Eur Radiol. 2021 Nov;31(11):8725-8732. doi: 10.1007/s00330-021-07933-7. Epub 2021 Apr 28.