Schreiber M H, Leonard M, Rieniets C Y
University of Texas Medical Branch, Galveston 77555-0709, USA.
AJR Am J Roentgenol. 1995 Aug;165(2):467-9. doi: 10.2214/ajr.165.2.7618577.
The purpose of this study was to determine if patients prefer to have radiologists tell them imaging findings immediately after the examination or if they prefer to hear the results later from their referring physician.
A simple questionnaire was devised and distributed to 261 consecutive patients in the radiology department of a large university hospital. During a 10-day period, patients seen in several departmental sections (gastrointestinal, genitourinary, CT, sonography, mammography, chest, musculoskeletal) completed the questionnaire. Patients were asked if they wanted the radiologist to tell them if the results were normal; if the results were abnormal; if they would prefer to hear the results from their family doctor, internist, or other primary care provider; and if they felt entitled to an explanation of their test results. Results were tabulated and expressed as percentages.
Analysis of the 261 questionnaires disclosed that 92% of patients wanted the radiologist to tell them if the results are normal. An additional 7% answered "Yes, but only if I ask." If the results are abnormal (cancer, for example), 87% wanted the radiologist to tell them. An additional 7% answered "Yes, but only if I ask."
Our results show that most patients prefer to hear the results of imaging examinations from the radiologist at the time of the procedure rather than to hear them later from the referring physician, regardless of the findings.
本研究的目的是确定患者是希望放射科医生在检查后立即告知他们影像学检查结果，还是更愿意稍后从转诊医生那里得知结果。
设计了一份简单问卷，并分发给一家大型大学医院放射科的261名连续就诊患者。在为期10天的时间里，在几个科室（胃肠、泌尿生殖、CT、超声、乳腺摄影、胸部、肌肉骨骼）就诊的患者填写了问卷。询问患者是否希望放射科医生告知他们结果是否正常；结果是否异常；他们是否更愿意从家庭医生、内科医生或其他初级保健提供者那里得知结果；以及他们是否认为有权获得检查结果的解释。结果制成表格并以百分比表示。
对261份问卷的分析显示，92%的患者希望放射科医生告知他们结果是否正常。另外7%的人回答“是，但只有在我询问时才告知”。如果结果异常（例如癌症），87%的患者希望放射科医生告知他们。另外7%的人回答“是，但只有在我询问时才告知”。
我们的结果表明，大多数患者更愿意在检查时从放射科医生那里得知影像学检查结果，而不是稍后从转诊医生那里得知，无论检查结果如何。
