医生同意与放射科医生推的随访成像的预测因素
Moses Flash1, Elyse A Lynch2, Ronilda Lacson2
1Department of Radiology, Hospital of the University of Pennsylvania, University of Pennsylvania Health System, Philadelphia, Pennsylvania.
Journal of the American College of Radiology : JACR
|November 17, 2024
概括
推提供者经常同意放射科医生的后续成像建议. 意见分歧往往源于临床相关性,而不是患者人口统计学或社会经济因素,突出显示诊断成像中的沟通机会.
科学领域:
- 放射学和医学成像学 医学成像学
- 医疗保健通讯 医疗保健通讯
- 临床决策支持 临床决策支持
背景情况:
- 随访成像建议在放射学报告中很常见.
- 推的后续成像完成率有所不同,可能是由于放射科医生和转诊提供者的分歧.
- 了解协议对于优化患者护理途径至关重要.
研究的目的:
- 评估转诊提供者的频率,同意放射科医生后续成像建议.
- 为了确定放射科医生和转诊提供者之间分歧的原因.
- 确定与同意后续成像相关的因素.
主要方法:
- 在一个大型学术中心使用PACS集成工具进行推文档的回顾性研究.
- 包括2019年10月至2022年10月期间发送的门诊建议.
- 多变量逻辑回归分析了与协议相关的因素.
主要成果:
- 放射科医生与转诊提供者之间达成高达成协议率 (88.6%).
- 最常见的不同意见原因:建议不临床相关 (44.5%).
- 外科医生和核成像的协议较低;胸部放射科医生的协议更高,随访间隔更长.
结论:
- 转诊提供者在很大程度上同意放射科医生后续成像建议.
- 患者的人口统计和社会经济因素并没有显著影响协议.
- 专注于临床相关性可以改善对成像推的遵守.
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