The dermatopathologist–patient consultation program: A pilot study on patient perspectives and interest

IF 1.6 4区 医学 Q3 DERMATOLOGY
Jonathan Lai, Nina M. D'Amiano, Jaroslaw Jedrych
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Abstract

BackgroundDespite the integral contribution of dermatopathologists in diagnosing skin lesions, their role often remains unclear to patients, likely due to little face‐to‐face interaction. More healthcare systems have begun introducing patient–pathologist consultation programs that allow patients to discuss results with a pathologist and view tissue under a microscope. To our knowledge, only one study has been published exploring patient perspectives of these programs and no studies exist regarding interest in dermatopathology.MethodsAn anonymous survey was distributed via online support groups for various dermatologic diagnoses.ResultsPatients demonstrated a high level of interest in the dermatopathologist–patient consultation program, with 81.3% expressing at least moderate interest in discussing their diagnosis with a dermatopathologist and 79.2% expressing at least moderate interest in examining their tissue under the microscope with a dermatopathologist. The rationale for interest included various themes: (1) knowledge/understanding, (2) empowerment, (3) emotional support, (4) general interest, and (5) improved trust.ConclusionsPatients with cancerous and non‐cancerous dermatologic diagnoses demonstrate high interest in a dermatopathologist–patient consultation program. Efforts to pilot this type of program can build upon the infrastructure of current pathologist consultation programs. Future efforts should be taken by hospital leadership, clinicians, and dermatopathologists to determine physician interest and address logistical challenges to the implementation of these programs.
皮肤病理学家-患者咨询项目:关于患者观点和兴趣的试点研究
背景尽管皮肤病理学家在诊断皮肤病变方面做出了不可或缺的贡献,但患者对他们的作用往往并不清楚,这很可能是由于很少有面对面的交流。越来越多的医疗系统开始引入患者-病理学家咨询项目,让患者与病理学家讨论结果并在显微镜下观察组织。据我们所知,目前仅有一项研究探讨了患者对这些项目的看法,还没有关于患者对皮肤病理学兴趣的研究。结果患者对皮肤病理学家-患者会诊项目表现出高度兴趣,81.3%的患者表示至少有一定兴趣与皮肤病理学家讨论他们的诊断,79.2%的患者表示至少有一定兴趣与皮肤病理学家在显微镜下检查他们的组织。感兴趣的原因包括以下几个方面:(1) 知识/理解;(2) 授权;(3) 情感支持;(4) 一般兴趣;(5) 提高信任度。在目前病理学家会诊项目的基础上,可以尝试开展此类项目。医院领导层、临床医生和皮肤病理学家今后应努力确定医生的兴趣,并解决实施这些项目所面临的后勤挑战。
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来源期刊
CiteScore
3.20
自引率
5.90%
发文量
174
审稿时长
3-8 weeks
期刊介绍: Journal of Cutaneous Pathology publishes manuscripts broadly relevant to diseases of the skin and mucosae, with the aims of advancing scientific knowledge regarding dermatopathology and enhancing the communication between clinical practitioners and research scientists. Original scientific manuscripts on diagnostic and experimental cutaneous pathology are especially desirable. Timely, pertinent review articles also will be given high priority. Manuscripts based on light, fluorescence, and electron microscopy, histochemistry, immunology, molecular biology, and genetics, as well as allied sciences, are all welcome, provided their principal focus is on cutaneous pathology. Publication time will be kept as short as possible, ensuring that articles will be quickly available to all interested in this speciality.
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