赞同者,不赞同者和斗争者:对直肠癌的Q方法研究,MRI预制使用
Sarah Alderson1, Chand Muthoo2, Hannah Rossington2,3
1Leeds Institute of Health Sciences, University of Leeds, Leeds LS2 9LN, United Kingdom.
The British journal of radiology
|February 18, 2025
概括
实施标准化直肠癌MRI (rcMRI) 报告形式面临与格式,放射科医生的信念和系统级因素相关的障碍. 克服这些需要量身定制的策略和外部影响,以提高报告的一致性,以便更好地做出癌症治疗决策.
科学领域:
- 放射学 放射学是一门学科.
- 在瘤学瘤学.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 结直肠癌MRI (rcMRI) 对于准确的分期和治疗计划至关重要.
- 对rcMRI报告完整性的变化可能会影响患者的护理.
- 模板形式报告可以增强关键瘤描述者的包含.
研究的目的:
- 确定放射科医生关于实施rcMRI的形式报告的障碍的共同观点.
- 测量意见的主观性,找出阻碍实施的共同模式.
主要方法:
- 一项Q-方法研究,涉及来自16家医院信托的胃肠道放射专家.
- 参与者对56个关于使用形式报告的障碍的陈述进行了排名.
- 因子分析确定了不同放射科医生的态度,得到调查数据的支持.
主要成果:
- 三个放射科医生的态度群体出现了:赞成者,不赞成者和扎的冠军.
- 关键障碍包括前期形式,个人放射科医生的偏好/信仰以及多学科/系统层面的因素.
- 有超过10年的rcMRI报告经验的放射科医生参加了会议.
结论:
- 不满的放射科医生要求外部司机 (例如,临床医生授权) 采用proforma.
- 增加内部和组织的支持对于proforma的采用至关重要.
- 有针对性的,多层次的实施策略,解决个人和组织障碍,是成功采用rcMRI的必要条件.
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