具有挑战性的遭遇:系统范围审查,以了解患者对全科医生遵守成像指南的影响
Lizzie De Silva1, Melissa Baysari2, Peter Hanna1
1Discipline of Medical Imaging Science, Sydney School of Health Sciences, Faculty of Medicine and Health, Susan Wakil Health Building, The University of Sydney, Camperdown Campus, Camperdown, New South Wales, Australia.
Journal of evaluation in clinical practice
|February 19, 2026
概括
由于患者的期望和系统压力,全科医生面临着平衡以患者为中心的护理与适当的诊断成像指南的挑战. 建立信任和决策辅助等策略有帮助,但教育和报销改革是必要的.
科学领域:
- 医疗保健管理的管理
- 初级医疗保健医学 一级医疗保健医学
- 医疗成像医学成像
背景情况:
- 以患者为中心的护理模式增加了患者对健康的参与.
- 患者越来越多地访问在线健康信息,导致对诊断成像的要求.
- 一般医生 (GPs) 面临着满足成像要求的压力,有时与临床指南相冲突.
研究的目的:
- 探索一般医生在响应患者成像请求时所面临的挑战.
- 确定这些挑战如何影响对成像指南的遵守.
- 调查全科医生策略和支持系统,以管理成像请求和遵守指南.
主要方法:
- 按照乔安娜·布里格斯研究所的指导方针进行系统范围审查.
- 在 Embase,Medline,Scopus,CINAHL 和 Web of Science 进行的搜索.
- 他们遵守了PRISMA-ScR报告准则.
主要成果:
- 11项研究揭示了患者期望,焦虑,健康素养,医疗法律问题和机构激励与基于证据的成像之间的冲突.
- 一般医生采用以患者为中心的信任建设,临床专业知识和决策辅助工具.
- 纳入的研究质量中等,使用Hoy偏差风险和CASP分析进行评估.
结论:
- 以患者为中心的护理对于GP关系至关重要,但经济激励等挑战阻碍了对诊断成像的准则遵守.
- 跨学科的沟通和持续的GP教育是合规的关键.
- 报销重组和改善成像可访问性可以提高患者对诊断成像的理解和适当使用.
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