Advancing Patient-centered Outcomes in Emergency Diagnostic Imaging: A Research Agenda

被引：28

作者：

Kanzaria, Hemal K. ^{[1
,2
,9
,10
,11
]}

McCabe, Aileen M. ^{[3
,12
]}

Meisel, Zachary M. ^{[13
,14
]}

LeBlanc, Annie ^{[15
]}

Schaffer, Jason T. ^{[4
]}

Bellolio, M. Fernanda ^{[5
,16
]}

Vaughan, William

Merck, Lisa H. ^{[6
,17
]}

Applegate, Kimberly E. ^{[18
]}

Hollander, Judd E. ^{[7
,19
]}

Grudzen, Corita R. ^{[8
,20
]}

Mills, Angela M.

Carpenter, Christopher R. ^{[21
,22
]}

Hess, Erik P. ^{[5
,16
,23
]}

机构：

[1] Univ Calif San Francisco, Dept Emergency Med, San Francisco, CA 94143 USA

[2] San Francisco Gen Hosp, San Francisco, CA 94110 USA

[3] Univ Penn, Dept Emergency Med, Perelman Sch Med, Philadelphia, PA 19104 USA

[4] Indiana Univ Sch Med, Dept Emergency Med, Indianapolis, IN 46202 USA

[5] Mayo Clin, Dept Emergency Med, Rochester, MN 55905 USA

[6] Brown Univ, Dept Emergency Med, Warren Alpert Med Sch, Providence, RI 02912 USA

[7] Thomas Jefferson Univ, Sidney Kimmel Med Coll, Dept Emergency Med, Philadelphia, PA 19107 USA

[8] NYU, Dept Emergency Med, New York, NY USA

[9] Robert Wood Johnson Clin Scholars Program, Los Angeles, CA USA

[10] US Dept Vet Affairs, Los Angeles, CA USA

[11] RAND Hlth, Santa Monica, CA USA

[12] Royal Coll Surgeons Ireland, Emergency Care Res Unit, Div Populat Hlth Sci, Dublin 2, Ireland

[13] Univ Penn, Perelman Sch Med, Ctr Emergency Care Policy & Res, Philadelphia, PA 19104 USA

[14] Univ Penn, Leonard Davis Inst Hlth Econ, Philadelphia, PA 19104 USA

[15] Mayo Clin, Dept Hlth Sci Res, Knowledge & Evaluat Res Unit, Div Hlth Care Policy & Res, Rochester, MN USA

[16] Mayo Clin, Robert D & Patricia E Kern Ctr Sci Hlth Care Deli, Rochester, MN USA

[17] Brown Univ, Warren Alpert Med Sch, Dept Diagnost Imaging, Providence, RI 02912 USA

[18] Emory Univ, Sch Med, Dept Radiol & Imaging Sci, Atlanta, GA USA

[19] Natl Acad Ctr Telehlth, Philadelphia, PA USA

[20] NYU, Dept Populat Hlth, New York, NY USA

[21] Washington Univ, Sch Med, Div Emergency Med, St Louis, MO USA

[22] Washington Univ, Emergency Care Res Core, St Louis, MO USA

[23] Mayo Clin, Dept Hlth Sci Res, Div Healthcare Policy Res, Knowledge & Evaluat Res Unit, Rochester, MN USA

来源：

ACADEMIC EMERGENCY MEDICINE | 2015年 / 22卷 / 12期

基金：

美国医疗保健研究与质量局;

关键词：

SHARED DECISION-MAKING; HEALTH-CARE DECISIONS; COMPUTED-TOMOGRAPHY; KNOWLEDGE TRANSLATION; PHYSICIAN PERCEPTIONS; RISK COMMUNICATION; REPORTED OUTCOMES; INVOLVE PATIENTS; CLINICIAN; BARRIERS;

D O I：

10.1111/acem.12832

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Diagnostic imaging is integral to the evaluation of many emergency department (ED) patients. However, relatively little effort has been devoted to patient-centered outcomes research (PCOR) in emergency diagnostic imaging. This article provides background on this topic and the conclusions of the 2015 Academic Emergency Medicine consensus conference PCOR work group regarding "Diagnostic Imaging in the Emergency Department: A Research Agenda to Optimize Utilization." The goal was to determine a prioritized research agenda to establish which outcomes related to emergency diagnostic imaging are most important to patients, caregivers, and other key stakeholders and which methods will most optimally engage patients in the decision to undergo imaging. Case vignettes are used to emphasize these concepts as they relate to a patient's decision to seek care at an ED and the care received there. The authors discuss applicable research methods and approaches such as shared decision-making that could facilitate better integration of patient-centered outcomes and patient-reported outcomes into decisions regarding emergency diagnostic imaging. Finally, based on a modified Delphi process involving members of the PCOR work group, prioritized research questions are proposed to advance the science of patient-centered outcomes in ED diagnostic imaging. (C) 2015 by the Society for Academic Emergency Medicine

引用

页码：1435 / 1446

页数：12

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