影像转诊指南对患者和放射学服务的影响和影响:系统性审查
Yi Xiang Tay1,2, Shane Foley3, Ronan Killeen4,5
1Radiography and Diagnostic Imaging, School of Medicine, University College Dublin, Dublin, Ireland. yi.tay@ucdconnect.ie.
European radiology
|July 13, 2024
概括
实施基于证据的成像推指南可以提高医疗保健质量和患者的结果,同时降低成本. 这些指导方针对于提高全球放射学服务价值至关重要.
科学领域:
- 放射学和医学成像学 医学成像学
- 医疗保健服务研究 医疗服务研究
- 临床指南 临床指南
背景情况:
- 图像转介指南对于优化诊断成像使用至关重要.
- 包括患者和放射科医生在内的利益相关者受到这些指南的影响.
- 了解与指导方针实施相关的结果至关重要.
研究的目的:
- 系统地审查和综合成像推指南的结果.
- 探索对患者和放射科医生等各种利益相关者的影响.
- 提供指南有效性的全面概述.
主要方法:
- 在Medline,Embase和Web of Science (2013-2023) 的系统文献搜索.
- 包括全文英语文章和评论.
- 使用混合方法评估工具和叙事合成进行质量评估.
主要成果:
- 包括31项研究,美国放射学学院的指导方针是最常见的.
- 临床决策支持系统经常被评价为干预措施.
- 干预措施导致辐射剂量,等待时间,放射学工作量和低值成像减少,同时保持临床有效性.
结论:
- 基于证据的成像转诊指南提高了医疗保健质量,结果,并降低了成本.
- 需要在全球范围内更广泛地传播和协调指南.
- 通过指南有助于基于价值的放射学,并影响患者,放射科医生和决策者.
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