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Patient Agency in Imaging: Radiologists' Insights.

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Patient-initiated imaging requests are increasing, leading to unnecessary procedures and impacting radiologists. Patient education and clear guidelines are crucial for managing expectations and optimizing healthcare resources.

Keywords:
consumerismdoctor–patient relationshipgeneral practitionerhealth‐seekinginternetonline healthpatient‐requested studiesradiology

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Area of Science:

  • Radiology
  • Medical Imaging
  • Healthcare Management

Background:

  • Growing trend of patient-initiated medical imaging requests.
  • Influence of online health information on patient expectations.
  • Impact of general practitioners' (GPs) acquiescence to these requests.

Purpose of the Study:

  • To examine the impact of patient-initiated radiological exams on radiologists.
  • To explore radiologists' perspectives on how GP decisions affect healthcare resources.
  • To understand how patient requests influence expectations of radiological study capabilities.

Main Methods:

  • Cross-sectional opinion survey administered to Australian radiologists.
  • Survey conducted between November 2023 and February 2024.
  • 27 usable responses from 100 distributed surveys (37% response rate).

Main Results:

  • Nearly half of radiologists surveyed had over 20 years of experience.
  • X-rays, ultrasounds, and CT scans were most commonly requested non-indicated studies.
  • 24% of studies were deemed unnecessary; 30% of radiologists felt pressured to expedite reports.

Conclusions:

  • Patient-initiated imaging presents a growing burden on radiologists.
  • Unrealistic patient expectations and lack of understanding of imaging limitations exacerbate the issue.
  • Collaboration, patient education, and clear guidelines are essential for managing imaging requests.