关键词: General practitioner Overutilization Survey diagnostic imaging justification radiologist referral

来  源:   DOI:10.1080/02813432.2024.2366247

Abstract:
UNASSIGNED: This study aimed to survey general practitioners\' (GPs) and radiologists\' perspectives on referrals, imaging justification, and unnecessary imaging in Norway.
UNASSIGNED: The survey covered access to imaging, responsibilities, attitudes toward justification assessment, referral process, and demographics using multiple choice questions, statements to report agreement with using the Likert scale and one open question.
UNASSIGNED: Forty radiologists and 58 GPs attending national conferences completed a web-based survey, with a 20/15% response rate, respectively. Both radiologists (97%) and GPs (100%) considered avoiding unnecessary examinations essential to their role in the healthcare service. Still, 91% of GPs admitted that they referred to imaging they thought was not helpful, while about 60% of the radiologists agreed that unnecessary imaging was conducted in their workplace. GPs reported pressure from patients and patients having private insurance as the most common reasons for doing unnecessary examinations. In contrast, radiologists reported a lack of clinical information and the inability to discuss patient cases with the GPs as the most common reasons.
UNASSIGNED: This study adds to our understanding of radiologists\' and GPs\' perspectives on unnecessary imaging and referrals. Better guidelines and, even more importantly, better communication between the referrer and the radiologist are needed. Addressing these issues can reduce unnecessary imaging and improve the quality and safety of care.
摘要:
本研究旨在调查全科医生(全科医生)和放射科医生对转诊的看法,成像理由,和不必要的成像在挪威。
调查涵盖了成像,责任,对正当性评估的态度,转介过程,和人口统计使用多项选择题,声明报告同意使用李克特量表和一个悬而未决的问题。
参加全国会议的40名放射科医生和58名全科医生完成了一项基于网络的调查,20/15%的反应率,分别。放射科医生(97%)和全科医生(100%)都考虑避免不必要的检查,这对他们在医疗保健服务中的作用至关重要。尽管如此,91%的全科医生承认他们提到他们认为没有帮助的成像,而大约60%的放射科医生认为在他们的工作场所进行了不必要的成像。全科医生报告说,来自患者和拥有私人保险的患者的压力是进行不必要检查的最常见原因。相比之下,放射科医师报告缺乏临床信息,无法与全科医生讨论患者病例是最常见的原因.
这项研究增加了我们对放射科医生和全科医生对不必要的成像和转诊的理解。更好的指导方针,更重要的是,引荐者和放射科医生之间需要更好的沟通。解决这些问题可以减少不必要的成像并提高护理质量和安全性。
公众号