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Needs of Referring Providers by Practice Type: Results of a Survey at an Academic Medical Center.

按实践类型划分的转诊提供者的需求: 学术医学中心的调查结果。

  • 影响因子:2.91
  • DOI:10.2214/AJR.19.22738
  • 作者列表:"Larson DB","Hwang GL
  • 发表时间:2021-01-01
Abstract

:OBJECTIVE. The purpose of this study was to test a published hypothetic framework of different referring provider needs for primary care, specialty care, and urgent or emergency care practitioners through questions asked in an annual survey at an academic medical center. MATERIALS AND METHODS. Seven questions regarding provider needs were included in an annual online anonymous survey of referring providers. Multiple-choice response options were provided. Differences in responses between provider types were assessed using the Mann-Whitney U test. RESULTS. The survey was sent to 3325 providers, and 514 responses were received (response rate, 15.5%). The analysis included 340 responses: 81 from primary care, 205 from specialty care, and 54 from urgent or emergency care. Results indicated that urgent or emergency care providers need examinations to be performed and interpreted more quickly, specialist providers prefer greater radiologist specialization, urgent or emergency care providers order imaging with greater frequency, primary care and urgent or emergency care providers order a greater breadth of imaging, primary care providers report greater reliance on radiologist interpretations, and all provider types highly value direct interactions with radiologists. All results were statistically significant and matched established hypotheses. CONCLUSION. Our results support the concept that referring providers tend to value different aspects of radiology services differently, according to predictable characteristics. The findings suggest that the concept of value in radiology is highly context-specific and can be evaluated, at least in part, using practice-specific referring provider assessments.

摘要

: 客观。本研究的目的是通过学术医疗中心年度调查中提出的问题,测试已发表的不同转诊提供者对初级保健,专科护理和紧急或紧急护理从业者需求的假设框架。材料和方法。关于供应商需求的七个问题被纳入对推荐供应商的年度在线匿名调查。提供了多选应答选项。使用Mann-Whitney U检验评估提供者类型之间的响应差异。结果。向3325个供应商发送了调查,收到了514份回复 (回复率为15.5%)。该分析包括340份回复: 81份来自初级护理,205份来自专科护理,54份来自紧急或紧急护理。结果表明,紧急或紧急护理提供者需要更快速地进行检查和解释,专业提供者更喜欢放射科医生专业化,紧急或紧急护理提供者订购更频繁的成像,初级保健和紧急或紧急护理提供者订购更广泛的成像,初级保健提供者报告更多地依赖放射科医生的解释,并且所有提供者类型都高度重视与放射科医生的直接互动。所有结果均具有统计学显著性,且与已建立的假设相匹配。结论。我们的结果支持这样一种概念,即根据可预测的特征,转诊提供者倾向于以不同的方式重视放射学服务的不同方面。研究结果表明,放射学中的价值概念是高度特定于上下文的,可以使用特定于实践的转诊提供者评估进行评估,至少部分评估。

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