Healthcare provider and patient perspectives on diagnostic imaging investigations

摘要

Background: Much has been written about the patient-centred approach in doctor–patient?consultations. Little is known about interactions and communication processes regarding healthcare?providers' and patients' perspectives on expectations and experiences of diagnostic imaging?investigations within the medical encounter. Patients journey through the health system from the?point of referral to the imaging investigation itself and then to the post-imaging consultation.Aim and setting: To explore healthcare provider and patient perspectives on interaction and?communication processes during diagnostic imaging investigations as part of their clinical journey?through a healthcare complex.Methods: A qualitative study was conducted, with two phases of data collection. Twenty-four?patients were conveniently selected at a public district hospital complex and were followed?throughout their journey in the hospital system, from admission to discharge. The second phase?entailed focus group interviews conducted with providers in the district hospital and adjacent?academic hospital (medical officers and family physicians, nurses, radiographers, radiology?consultants and registrars).Results: Two main themes guided our analysis: (1) provider perspectives; and (2) patient dispositions?and reactions. Golden threads that cut across these themes are interactions and communication?processes in the context of expectations, experiences of the imaging investigations and the outcomes?thereof.Conclusion: Insights from this study provide a better understanding of the complexity of the?processes and interactions between providers and patients during the imaging investigations?conducted as part of their clinical pathway. The interactions and communication processes are?provider–patient centred when a referral for a diagnostic imaging investigation is included.