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Factors Affecting Adherence to Outpatient Radiology Report Recommendations
Hadiseh Kavandi1, Jesse L Wei2, Yarab Al Bulushi3
1Abdominal and Interventional Radiology Section, Department of Radiology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts.
Journal of the American College of Radiology : JACR
|March 29, 2023
Summary
Radiology follow-up recommendations are more likely to be followed when they are strong and unconditional. Direct communication and lack of specific time intervals speed up patient follow-up, potentially reducing care delays.
Area of Science:
- Radiology
- Medical Imaging
- Healthcare Management
Background:
- Adherence to radiology follow-up recommendations is crucial for timely patient care.
- Factors influencing physician adherence to these recommendations require identification.
Purpose of the Study:
- To identify factors associated with referring physician adherence to radiology follow-up recommendations.
- To analyze the impact of recommendation characteristics and communication methods on follow-up adherence and timing.
Main Methods:
- Retrospective analysis of CT, ultrasound, and MRI reports containing follow-up recommendations.
- Exclusion of emergency department, inpatient, and routine surveillance recommendations.
- Correlation of follow-up performance with recommendation strength, conditionality, direct communication, and patient cancer history using statistical methods.
Main Results:
- Adherence rate for nonroutine radiological recommendations was 65%.
- Strong, nonconditional recommendations showed higher adherence rates (P = .009 and P = .008, respectively).
- Direct communication, no cancer history, and unspecified time intervals were associated with earlier follow-up (P < .001 to P = .0069).
Conclusions:
- Strong and nonconditional radiology follow-up recommendations improve adherence.
- Direct provider communication and absence of specific time intervals expedite follow-up, potentially reducing care delays.
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