Song H H, Park S H, Shinn K S
Department of Biostatistics, Catholic University Medical College, Socho-Ku, Seoul, Korea.
Invest Radiol. 1993 Nov;28(11):1043-8. doi: 10.1097/00004424-199311000-00015.
The authors analyzed opinions regarding how a radiologist should answer a patient's or patient's family's questions about radiologic results.
Questionnaires were obtained in a university hospital from 135 physicians of various specialties, including radiologists, and 501 nonphysicians, such as medical students, nurses, patients, families of patients, and hospital personnel. The questionnaire included three questions, each with five choices. The first question concerned a normal result, the second a minor abnormality, and the third a major abnormality. The five choices in each question consisted of two suggestive answers to patients' inquiries and three excuses for the refusal of immediate answers. Respondents were asked to choose the single most desirable and the single least desirable answer.
Approximately 50% of all physicians believed that a radiologist should refer the patient to his or her physician rather than to give a suggestive answer to a patient with an abnormality. Considerably fewer physicians had a similar opinion in cases involving a patient with normal results. Patients and the families of patients believed that a radiologist should give at least a suggestive answer in any circumstances where the patient is agitated to know the result. Radiologists were reluctant to convey any information regardless of the test result.
Physicians had significantly different opinions from patients and the families of patients, and radiologists preferred to keep their traditional role of referral physician.
作者分析了关于放射科医生应如何回答患者或患者家属有关放射学检查结果问题的观点。
在一所大学医院对135名不同专业的医生（包括放射科医生）以及501名非医生人员（如医学生、护士、患者、患者家属和医院工作人员）进行问卷调查。问卷包含三个问题，每个问题有五个选项。第一个问题涉及正常结果，第二个问题涉及轻微异常，第三个问题涉及重大异常。每个问题的五个选项包括对患者询问的两个暗示性答案以及拒绝立即回答的三个托词。要求受访者选择最理想和最不理想的单一答案。
约50%的医生认为，放射科医生应将患者转介给其主治医生，而非对有异常的患者给出暗示性答案。在涉及结果正常的患者的情况下，持类似观点的医生要少得多。患者及其家属认为，在患者急于知晓结果的任何情况下，放射科医生至少应给出暗示性答案。无论检查结果如何，放射科医生都不愿传达任何信息。
医生与患者及其家属的观点存在显著差异，放射科医生更倾向于保留其作为转诊医生的传统角色。
