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Creating a patient-centered imaging service: determining what patients want.

机译:创建以患者为中心的影像服务:确定患者的需求。

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摘要

OBJECTIVE: The purpose of this study is to determine patients' preferences for how, from whom, and how soon they receive imaging results. MATERIALS AND METHODS: Hard copies of our survey were randomly distributed to patients at an academic medical center outpatient imaging facility for 9 weeks, during August through October 2008, to collect data regarding patient preferences for how they received results ("Method"), from whom ("Person"), and how quickly ("Speed"). RESULTS: A total of 129 (23%) of 557 patients (47.4% male; median age, 55 years) undergoing CT (62%) and MRI (38%) completed the survey. According to survey responses, results needed to be communicated within a few hours for an "acceptable" rating from 95% of patients. Thirty-one percent preferred to receive normal results by the fastest method, whereas 35% preferred to receive abnormal results by telephone. Patients did not show an overwhelming preference regarding which physician communicates the results. More than 25% of patients were indifferent as to who was giving the results and cared only about the speed of delivery. For normal results, 12% chose from the radiologist, 41% from the referring physician, 14% from both, and 33% from whoever is faster (p < 0.0001). For abnormal results, 6% chose from the radiologist, 41% from the referring physician, 27% from both, and 26% from whoever is faster (p < 0.0002). CONCLUSION: Patients in our study wanted their results communicated much sooner than is currently practiced. Optimizing patient satisfaction may require a new communication model.
机译:目的:本研究的目的是确定患者对如何,从谁以及多久获得成像结果的偏好。材料与方法:在2008年8月至2008年10月期间,将我们的调查问卷的硬拷贝随机分发给学术医学中心门诊成像设施的患者,为期9周,以收集有关患者对如何获得结果的偏好的数据(“方法”)谁(“人”)和多快(“速度”)。结果:557例患者中共有129例(23%)(男性47.4%;中位年龄55岁)接受了CT(62%)和MRI(38%)检查。根据调查的答复,需要在几小时内传达结果,才能使95%的患者获得“可接受”的评价。 31%的人希望通过最快的方法获得正常结果,而35%的人希望通过电话获得异常结果。对于哪位医生传达结果,患者没有表现出压倒性的偏好。超过25%的患者对谁提供结果并不关心,只关心分娩的速度。为获得正常结果,放射科医生选择了12%,推荐医生选择了41%,两者都选择了14%,更快的人选择了33%(p <0.0001)。对于异常结果,放射科医生选择了6%,主治医师选择了41%,两者都选择了27%,而更快的人选择了26%(p <0.0002)。结论:本研究中的患者希望他们的结果能比目前更快地传达出来。优化患者满意度可能需要新的沟通模型。

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