Patient-centered Radiology: Where Are We, Where Do We Want to Be, and How Do We Get There?

Autor: Kemp JL; From Diversified Radiology of Colorado, 1746 Cole Blvd, #150, Lakewood, CO 80401 (J.L.K.); Department of Radiology, University of Cincinnati Medical Center, Cincinnati, Ohio (M.C.M.); Department of Radiology, Medical College of Wisconsin, Milwaukee, Wis (V.P.M.); Department of Radiology, Stanford University School of Medicine, Stanford, Calif (M.W.); Department of Radiology, VA Medical Center, University of California, San Francisco, San Francisco, Calif. (J.Y.); and Department of Radiology, Boston Children's Hospital, Boston, Mass (S.D.B.)., Mahoney MC; From Diversified Radiology of Colorado, 1746 Cole Blvd, #150, Lakewood, CO 80401 (J.L.K.); Department of Radiology, University of Cincinnati Medical Center, Cincinnati, Ohio (M.C.M.); Department of Radiology, Medical College of Wisconsin, Milwaukee, Wis (V.P.M.); Department of Radiology, Stanford University School of Medicine, Stanford, Calif (M.W.); Department of Radiology, VA Medical Center, University of California, San Francisco, San Francisco, Calif. (J.Y.); and Department of Radiology, Boston Children's Hospital, Boston, Mass (S.D.B.)., Mathews VP; From Diversified Radiology of Colorado, 1746 Cole Blvd, #150, Lakewood, CO 80401 (J.L.K.); Department of Radiology, University of Cincinnati Medical Center, Cincinnati, Ohio (M.C.M.); Department of Radiology, Medical College of Wisconsin, Milwaukee, Wis (V.P.M.); Department of Radiology, Stanford University School of Medicine, Stanford, Calif (M.W.); Department of Radiology, VA Medical Center, University of California, San Francisco, San Francisco, Calif. (J.Y.); and Department of Radiology, Boston Children's Hospital, Boston, Mass (S.D.B.)., Wintermark M; From Diversified Radiology of Colorado, 1746 Cole Blvd, #150, Lakewood, CO 80401 (J.L.K.); Department of Radiology, University of Cincinnati Medical Center, Cincinnati, Ohio (M.C.M.); Department of Radiology, Medical College of Wisconsin, Milwaukee, Wis (V.P.M.); Department of Radiology, Stanford University School of Medicine, Stanford, Calif (M.W.); Department of Radiology, VA Medical Center, University of California, San Francisco, San Francisco, Calif. (J.Y.); and Department of Radiology, Boston Children's Hospital, Boston, Mass (S.D.B.)., Yee J; From Diversified Radiology of Colorado, 1746 Cole Blvd, #150, Lakewood, CO 80401 (J.L.K.); Department of Radiology, University of Cincinnati Medical Center, Cincinnati, Ohio (M.C.M.); Department of Radiology, Medical College of Wisconsin, Milwaukee, Wis (V.P.M.); Department of Radiology, Stanford University School of Medicine, Stanford, Calif (M.W.); Department of Radiology, VA Medical Center, University of California, San Francisco, San Francisco, Calif. (J.Y.); and Department of Radiology, Boston Children's Hospital, Boston, Mass (S.D.B.)., Brown SD; From Diversified Radiology of Colorado, 1746 Cole Blvd, #150, Lakewood, CO 80401 (J.L.K.); Department of Radiology, University of Cincinnati Medical Center, Cincinnati, Ohio (M.C.M.); Department of Radiology, Medical College of Wisconsin, Milwaukee, Wis (V.P.M.); Department of Radiology, Stanford University School of Medicine, Stanford, Calif (M.W.); Department of Radiology, VA Medical Center, University of California, San Francisco, San Francisco, Calif. (J.Y.); and Department of Radiology, Boston Children's Hospital, Boston, Mass (S.D.B.).
Jazyk: angličtina
Zdroj: Radiology [Radiology] 2017 Nov; Vol. 285 (2), pp. 601-608. Date of Electronic Publication: 2017 Jun 20.
DOI: 10.1148/radiol.2017162056
Abstrakt: Purpose The objectives of the Radiological Society of North America (RSNA) Patient-Centered Radiology Steering Committee survey were to (a) assess RSNA members' general attitudes and experiences concerning patient-centered radiology, with specific attention paid to radiologist-to-patient communication; (b) examine the members' barriers to communicating more directly with patients; and (c) explore their perceptions of how such barriers can be overcome. Materials and Methods A total of 5999 radiologists were invited by e-mail to complete an anonymous electronic survey developed by the Steering Committee and the RSNA Department of Research. Participants were asked to identify aspects of patient-centered care important to their practice, report on their interactions with patients, and share their opinions on radiologist-patient communication. Statistical analyses were performed by using the χ 2 test and analysis of variance. Results The response rate was 12% (n = 694, 109 invitations were undeliverable). Most respondents (89%, 611 of 684) agreed that promoting awareness of the role of radiology in patients' overall health care is important to how they practice. The majority (73%, 421 of 575) reported that time or workload frequently prevented them from communicating directly with patients. The majority (74%, 423 of 572) reported that a personal sense of satisfaction was likely to motivate them to communicate more directly with patients, but many commented that changes to reimbursement and compensation would help them communicate with patients more directly. Conclusion Many radiologists support the concept of communicating more directly with patients but report they are constrained by time or workload. Changes to reimbursement schemes may help mitigate these barriers to one crucial aspect of patient-centered care. © RSNA, 2017 Online supplemental material is available for this article.
Databáze: MEDLINE
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