Patient-Centered Care in Diagnostic Radiology. Issue 1 (January 2015)

• Record Type: Journal Article
• Authors: Davis, Derik L.; Mulligan, Michael E.; Moszkowicz, Arie; Resnik, Charles S.
• Is Part Of: Quality management in health care. Volume 24:Issue 1(2015)
• Publication Date: 2015-01
• Subjects: Medical care -- Quality control -- Periodicals; Total quality management -- Periodicals; Health services administration -- Periodicals; 362.1068
• DOI: 10.1097/QMH.0000000000000047
• Languages: English
• ISSNs: 1063-8628

Abstract

<abstract> <title> <x xml:space="preserve">Abstract</x> </title> <sec> <title>Background:</title> <p>Since most radiologists do not meet with patients, questionnaires often substitute for face-to-face interviews to collect patients' history. We report the effect of direct radiologist-patient interviews on the quality of patient history recorded for musculoskeletal magnetic resonance imaging.</p> </sec> <sec> <title>Methods:</title> <p>Magnetic resonance imaging questionnaires completed by outpatients were separated into 2 cohorts: (1) imaging center (IC) forms with no radiologist interviews; (2) hospital (H) forms with radiologist-patient interviews. Three blinded radiologists independently scored each questionnaire for quality on a 5-point scale. A separate quantitative analysis was also performed. The unpaired <italic>t</italic> test, Fischer exact test, and χ<sup>2</sup> test were used to compare the cohorts.</p> </sec> <sec> <title>Results:</title> <p>The mean score of the H cohort among reviewers was superior to the IC cohort: 3.79 (±0.98) versus 3.04 (±1.00), <italic>P</italic> < .0001. Each reviewer also independently found the H cohort to be of higher quality for patient history, <italic>P</italic> < .0001. For the IC cohort, 7.8% of questionnaires did not report a single symptom versus 0.0% in the H cohort, <italic>P</italic> = .0331. Also, the IC cohort recorded symptoms in 2 or less words more often than the H cohort, P < .0001.</p> </sec> <sec> <title>Conclusion:</title> <p>Brief radiologist-patient interviews are superior for obtaining a higher quality of patient history for musculoskeletal MRI than patient questionnaires alone.</p> </sec> </abstract>