零是一个很好的分数吗? 对患者对放射学报告的看法进行了定性研究
Benjamin T Perrin Hee1, Aidan Farrell1, Alexander Beekman1
1Thomas Jefferson University, College of Population Health, 901 Walnut Street, 10th Floor, Philadelphia, PA, 19107.
通过电子病历 (EMR) 访问放射学报告的患者经常感到困惑和痛苦. 需要更清晰,以患者为中心的报告与简要概述,以提高理解并减少患者的焦虑.
科学领域:
- 放射学 放射学是一门学科.
- 医疗信息学 医疗信息学
- 患者体验 患者体验
背景情况:
- 患者越来越多地通过电子病历 (EMR) 直接访问放射学报告.
- 在这些报告中理解复杂的医学术语和评分系统对许多患者来说是一个重大挑战.
- 在初始报告审查期间缺乏医生协助可能会导致患者的困惑和痛苦.
研究的目的:
- 在独立解释放射学报告时调查患者的经验.
- 为了确定患者在阅读自己的报告时所面临的具体挑战.
- 收集患者驱动的建议,以改善放射学报告的清晰度和以患者为中心的沟通.
主要方法:
- 对20-79岁的参与者进行了20次定性访谈.
- 参与者审查了冠状动脉CT扫描报告的样本,并反映了他们的解释经验.
- 采访成绩单使用定向内容分析来分析,以确定关键主题.
主要成果:
- 85%的参与者表示,他们对报告中的信息感到担忧或压倒.
- 许多参与者很难解释研究结果,大约一半的人表达了恐惧.
- 关键障碍包括医学术语和评分系统;建议的解决方案包括简要概要和视觉辅助工具.
结论:
- 当患者独立解释放射学报告时,他们会经历严重的困惑和痛苦.
- 目前的放射学报告缺乏以患者为中心的元素,导致对下一步措施的焦虑和不确定性.
- 实施以患者为中心的改进,如简要摘要和视觉辅助工具,对于提高报告清晰度和患者福祉至关重要.
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