| Autor: |
Narayan AK; Department of Radiology, University of Wisconsin School of Medicine and Public Health, 750 Highland Ave, F6/178C, Madison, WI 53792-3252., Miles RC; Department of Radiology, Denver Health, Denver, CO., Milton A; Department of Radiology, University of Wisconsin School of Medicine and Public Health, 750 Highland Ave, F6/178C, Madison, WI 53792-3252., Salazar G; Department of Radiology, University of North Carolina-Chapel Hill, Chapel Hill, NC., Spalluto LB; Department of Radiology, Vanderbilt University Medical Center, Nashville, TN.; Department of Radiology, Vanderbilt-Ingram Cancer Center, Nashville, TN.; Department of Radiology, Veterans Health Administration-Tennessee Valley Health Care System Geriatric Research, Education and Clinical Center, Nashville, TN., Babagbemi K; Department of Radiology, Weill Cornell Medicine, New York, NY., Stowell JT; Department of Radiology, Mayo Clinic, Jacksonville, FL., Flores EJ; Department of Radiology, Massachusetts General Hospital, Boston, MA., Dako F; Department of Radiology, Hospital of the University of Pennsylvania, Philadelphia, PA., Weissman IA; Department of Radiology, Clement J. Zablocki Veterans Affairs Medical Center, Milwaukee, WI. |
| Abstrakt: |
Patient-centered care (PCC) and equity are two of the six core domains of quality health care, according to the Institute of Medicine. Exceptional imaging care requires radiology practices to provide patient-centered (i.e., respectful and responsive to individual patient preferences, needs, and values) and equitable (i.e., does not vary in quality on the basis of gender, ethnicity, geographic location, or socioeconomic status) care. Specific barriers that prevent the delivery of patient-centered equitable care include information gaps, breaches of trust, organizational medical culture, and financial incentives. Information gaps limit practitioners in understanding the lived experience of patients. Breaches of trust prevent patients from seeking needed medical care. Organizational medical cultures may not be centered around patient experiences. Financial incentives can impede practitioners' ability to spend the time and resources required to meet patient goals and needs. Intentional approaches that integrate core principles in both PCC and health equity are required to deliver high-quality patient-centered imaging care for diverse patient populations. The purpose of this AJR Expert Panel Narrative Review is to review the origins of the PCC movement in radiology, characterize connections between the PCC and health equity movements, and describe concrete examples of ways to foster patient-centered equitable care in radiology. |
