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Patient involvement in radiology research:Evidence from a systematic review of outcome
measurement in radiology
S Mathers*+, G McKenzie*, E Robertson*, J Proctor*+, R Chesson+
NHS Grampian*, The Health Services Research Group+
Aberdeen, Scotland, UK.
What aspects of health care can be evaluated?
StructureResources, facilities,
organisational settings
ProcessIntervention e.g.
surgery, procedure
OutcomeChange due to
intervention
...a successful outcome, as defined from the professionals perspective, may not necessarily be regarded as a successful outcome by the patient.’
Wright, 1999
Aim
To carry out a systematic review of literature to identify:• the prevalence, • use of patient focused outcome measures in
radiology.
Using 47 key words radiology, diagnostic imaging, x-ray/
outcomes patient satisfaction efficacy outcome measures waiting times quality of care
Databases: Medline, Cinahl 1990-2003.
Results
Citations reviewed 112
Patient focused outcome 22
Results
NO paper was found in which patient defined outcome had been used in radiology
Patient focused outcome papers
Primary aim of research (n=7)
- role of imaging on patient outcome (n=4)
- comparison of interventional procedures (n=1)
- most appropriate imaging modality (n=1)
- long term consequences of radiation doses (n=1)
Patient focused outcome papers
Secondary aim of research (n=4)
-all interventional studies
Conclusions
• Dearth of research into patient focused outcomes in radiology
• Lack of coherent body of work
• Reflects little patient involvement in radiology research
Recommendations
• Outcome measurement should be embedded within the cultures of radiology and radiography
• Patient engagement should take place in developing patient defined outcome especially in the area of interventional radiology
• Value of patient focused outcomes incorporated into education, benchmarking and planning of health care
Acknowledgements
The Royal College of Radiologists (UK)