Should GPs have direct access to imaging for headache? A qualitative study of patients’ views in the UK
| Autor: | Asif Mazumder, Rachael Kilner, Leone Ridsdale, Raphael Underwood, Alison McKinlay, Gabriella Wojewodka |
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| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Adult
Male medicine.medical_specialty Neurology Referral lcsh:Medicine 03 medical and health sciences primary care 0302 clinical medicine General Practitioners Patient experience London medicine Humans magnetic resonance imaging migraine 030212 general & internal medicine Referral and Consultation Qualitative Research Neuroradiology business.industry Symptom management Research neurology lcsh:R Headache General Medicine medicine.disease Wait time Migraine Patient Satisfaction Family medicine general practitioner Female business headache 030217 neurology & neurosurgery Qualitative research |
| Zdroj: | BMJ Open, Vol 9, Iss 8 (2019) McKinlay, A, Underwood, R, Wojewodka, G, Mazumder, A, Kilner, R & Ridsdale, L 2019, ' Should GPs have direct access to imaging for headache? A qualitative study of patients’ views in the UK ', BMJ Open, vol. 9, no. 8, e029376 . https://doi.org/10.1136/bmjopen-2019-029376 BMJ Open |
| ISSN: | 2044-6055 |
| Popis: | ObjectiveWe aimed to describe patients’ views of a new referral pathway of general practitioner (GP) direct access to MRI, versus imaging after referral to a specialist.DesignThis qualitative study involved 20 semistructured interviews. Twenty patients (10 from each pathway) were purposively recruited and interviewed to describe their attitudes.SettingA neurology headache clinic and neuroradiology services from the boroughs of Southwark and Lambeth in South London, UK.ParticipantsTwenty patients were involved in this study.ResultsOver half of the participants felt relieved once they received their scan results, while some remained uncertain about the underlying cause of their symptoms. Some participants described a long wait to see a specialist. Others described a long wait time to receive scan results, especially from their GP. Spontaneous reduction in headache symptoms occurred for some participants and for others, normal imaging results allowed them to focus more on symptom management.ConclusionRelief was reported especially when scan results had been explained clearly and without too much delay. Those with continuing pain focused on how to get relief from symptoms. Patient experience might be improved with clearer information from GPs about how patients can access results, standard reporting procedures and closer liaison between neuroradiology and GPs. |
| Databáze: | OpenAIRE |
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