预约核磁共振:患者对等待时间和难度的感知。

IF 2.2 4区 医学 Q1 HEALTH POLICY & SERVICES
Clara Singer, Noga Boldor, Sharona Vaknin, Liraz Olmer, Rachel Wilf-Miron, Vicki Myers
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引用次数: 0

摘要

背景:在许多国家,磁共振成像(MRI)的等待时间(WTs)正在上升。长WT延迟诊断和治疗,影响患者满意度。很少有研究调查病人安排和等待核磁共振检查的经历。本研究旨在从患者的角度评估预约MRI的难度;并找出与更长的WT和更大的难度相关的因素。方法:在2023年1月至2月期间,对557名以色列成年人的代表性样本进行了一项关于患者安排MRI检查经验的在线调查。所有参与者在过去一年内都在公共卫生系统接受了核磁共振成像。结果:WT中位数为1-2个月,人口统计学变量或检查类型没有显著差异。28%的人认为WT不合理。三分之二的受访者报告WTs≥1个月;与那些没有提前预约的人相比,试图提前预约的受访者报告了更长时间的WT (p结论:许多患者在安排MRI检查时遇到了一些困难,特别是在呼叫多个地点时,因为没有集中的接触点。HMO协议也会延长等待时间。除了服务提供者记录的客观指标外,在安排成像时考虑患者的观点也很重要。虽然近年来已经做出了努力来解决MRI WT,增加扫描仪和人员,但大多数患者至少要等待一个月,并且安排和等待预约的过程可能具有挑战性。可以考虑改变政策,包括提高不同机构WTs的透明度,以及核磁共振成像的集中预约中心,以简化预约流程,减少患者面临的挑战。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Scheduling an appointment for MRI: patient perception of wait time and difficulty.

Scheduling an appointment for MRI: patient perception of wait time and difficulty.

Scheduling an appointment for MRI: patient perception of wait time and difficulty.

Scheduling an appointment for MRI: patient perception of wait time and difficulty.

Background: Wait times (WTs) for Magnetic Resonance Imaging (MRI) are rising in many countries. Long WT delay diagnosis and treatment, and affect patient satisfaction. Little research has examined the patient experience of scheduling and waiting for an MRI. This study aimed to assess difficulty of scheduling an appointment for MRI from patients' perspectives; and to identify factors associated with longer WT and greater difficulty.

Methods: An online survey of patients' experience of scheduling an MRI was conducted in January-February 2023 among a representative sample of 557 Israeli adults. All participants had undergone an MRI in the public health system within the past year.

Results: Median WT was 1-2 months and did not differ significantly by demographic variables or exam type. 28% considered the WT unreasonable. WTs ≥ 1 month were reported by two thirds of respondents; longer WT were reported for respondents who tried to get an earlier appointment compared to those who did not (p < 0.001). WT for radiology report was significantly related to shift (shorter WT for morning MRI exams, p = 0.045), sex (men reported shorter WT, p = 0.042) and age (over 55s reported shortest WT, p = 0.006). In a stepwise logistic regression modeling the probability of finding the process difficult, significant factors included time between referral and calling to schedule, tried multiple sites, tried to get an earlier appointment, WT for report, and overall reasonableness of WT.

Conclusions: Many patients experienced some difficulty scheduling an MRI, particularly when calling multiple sites, since there is no centralized point of contact. HMO agreements can also lengthen the wait. Alongside objective metrics documented by service providers, it is important to consider patients' perspectives in scheduling imaging. While efforts have been made in recent years to tackle MRI WT, adding scanners and personnel, the majority of patients wait at least a month, and the process of scheduling and waiting for an appointment can be challenging. Policy changes, including greater transparency of WTs in different institutions, and a centralized booking center for MRI, could be considered to streamline the appointment process and reduce the challenges patients face.

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CiteScore
6.20
自引率
4.40%
发文量
38
审稿时长
28 weeks
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