Pilot Study of a Patient-Centered Radiology Process Model

被引:4
|
作者
Swan, J. Shannon [1 ,2 ]
Furtado, Vanessa F. [3 ]
Keller, Lisa A. [4 ]
Lotti, Judith Borsody [3 ]
Saltalamacchia, Catherine A. [3 ]
Lennes, Inga T. [2 ,5 ]
Salazar, Gloria M. [2 ,3 ]
机构
[1] Massachusetts Gen Hosp, Inst Technol Assessment, 101 Merrimac St,10th Floor, Boston, MA 02114 USA
[2] Harbor Med Sch, Boston, MA USA
[3] MGH Imaging, Boston, MA USA
[4] Univ Massachusetts, Dept Educ Policy Res & Adm, Amherst, MA 01003 USA
[5] MGH Canc Ctr, Boston, MA USA
关键词
Patient experience; quality of life; patient-centered care; psychometrics; TESTING MORBIDITIES INDEX;
D O I
10.1016/j.jacr.2016.08.024
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
Purpose: The Radiology Process Model (RPM) was previously described in terms of its conceptual basis and proposed survey items. The current study describes the first pilot application of the RPM in the field and the results of initial psychometric analysis. Methods: We used an Institutional Review Board approved pilot RPM survey in 100 patients having outpatient interventional radiology procedures. The 24 survey items had 4 or 5 levels of severity. We assessed for missing data, items that patients found confusing, any suggestions by patients for additional items and clarity of items from patient feedback. Factor analysis was performed and internal consistency measured. Construct validity was assessed by correlation of patient responses to the items as a summated scale with a visual analog scale (VAS) they completed indicating their interventional radiology experience. Results: The visual analog scale and the RPM summated scale were strongly correlated (r = 0.7). Factor analysis showed four factors: interactions with facility and doctors/staff; time-sensitive aspects, pain, and anxiety. The items showed high internal consistency (alpha: 0.86) as a group and approximately 0.7 to 0.9 by the factors. Analysis shows that two items could be deleted (cost and communication between radiologist and referrers). Revision of two items and potential addition of others are discussed. Conclusions: The RPM shows initial evidence of psychometric validity and internal consistency reliability. Minor changes are anticipated before wider use.
引用
收藏
页码:274 / 281
页数:8
相关论文
共 50 条
  • [1] Developing a Patient-Centered Radiology Process Model
    Swan, J. Shannon
    Pandharipande, Pari V.
    Salazar, Gloria M.
    JOURNAL OF THE AMERICAN COLLEGE OF RADIOLOGY, 2016, 13 (05) : 510 - 516
  • [2] Patient-centered Radiology
    Itri, Jason N.
    RADIOGRAPHICS, 2015, 35 (06) : 1835 - U227
  • [3] Patient-centered Radiology
    Schreyer, Andreas G.
    Herold, Christian J.
    Kauczor, Hans-Ulrich
    RADIOLOGIE, 2023, 63 (09): : 641 - 642
  • [4] A Patient-Centered Radiology Quality Process Map: Opportunities and Solutions
    Abujudeh, Hani H.
    Danielson, Adam
    Bruno, Michael A.
    AMERICAN JOURNAL OF ROENTGENOLOGY, 2016, 207 (05) : 940 - 946
  • [5] Pilot of a patient-centered pharmacy practice model
    Haines, Linda A.
    Putney, Kimberly S.
    Varkey, Divya A.
    Frost, Craig
    Pitman, Elizabeth P.
    Aparasu, Rajender R.
    Garey, Kevin W.
    AMERICAN JOURNAL OF HEALTH-SYSTEM PHARMACY, 2012, 69 (21) : 1860 - 1861
  • [6] Patient-centered Radiology: Use It or Lose It!
    Brandt-Zawadski, Michael
    Kerlan, Robert K., Jr.
    ACADEMIC RADIOLOGY, 2009, 16 (05) : 521 - 523
  • [7] Patient-Centered Medicine: Challenges for Radiology
    Nunez, Diego B.
    RADIOLOGIA, 2019, 61 (03): : 181 - 182
  • [8] Patient-centered Radiology for the Thoracic Imager
    Brook, Olga R.
    JOURNAL OF THORACIC IMAGING, 2020, 35 (02) : 71 - 72
  • [9] Patient-Centered Clinical Training in Radiology
    Perry, Don J.
    Kwan, Sharon W.
    Bhargava, Puneet
    JOURNAL OF THE AMERICAN COLLEGE OF RADIOLOGY, 2015, 12 (07) : 724 - 727
  • [10] Patient-centered Radiology: The Time is Now
    Carlos, Ruth C.
    ACADEMIC RADIOLOGY, 2009, 16 (05) : 515 - 516