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Patients' experience of outsourcing and care related to magnetic resonance examinations.

Tavakol Olofsson P, Aspelin P, Bergstrand L, Blomqvist L - Ups. J. Med. Sci. (2014)

Bottom Line: The interview was designed as a verbal questionnaire.Sixty-nine percent of the patients could neither choose nor influence the location at which they were examined.If patients were informed about outsourcing and could also choose where to have their examination, key factors contributing to patient satisfaction could be met even when MR examinations are outsourced.

View Article: PubMed Central - PubMed

Affiliation: Department of Clinical Science, Intervention and Technology at Karolinska Institutet, Division of Medical Imaging and Technology , Stockholm , Sweden.

ABSTRACT

Background: Outsourcing radiological examinations from public university hospitals affects the patient, who has to attend a different clinic or hospital for the radiological examination. We currently have a limited understanding of how patients view outsourcing and their care related to MR examinations.

Aim: To examine the experiences of patients who are sent to private radiology units when their referrals for MR examinations are outsourced from a university hospital, as well as to explore factors which influence patient satisfaction regarding the quality of care related to the MR examination.

Methods: A group of patients (n = 160) referred for MR examinations and either examined at a university hospital or at an external private unit were interviewed. The interview was designed as a verbal questionnaire. Data were analyzed using Student's t test, analysis of variance (ANOVA), and Pearson's correlation.

Results: Sixty-nine percent of the patients could neither choose nor influence the location at which they were examined. For those who could, aspects that influenced the patient's choice of radiology department were: short waiting time 79% (127/160), ease of traveling to the radiology department 68% (110/160), and short distance to their home or work 58% (93/160). For 40% (60/160) of the patients, a short time in the waiting room was related to a positive experience of the MR examination.

Conclusion: If patients were informed about outsourcing and could also choose where to have their examination, key factors contributing to patient satisfaction could be met even when MR examinations are outsourced.

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MR examinations: number of examinations of different anatomic regions.
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Figure 1: MR examinations: number of examinations of different anatomic regions.

Mentions: The most common MR examinations the patients had undergone were those of the knee or spine, which together constituted 58% of the examinations (Figure 1). Two different groups of patients were separated in the analysis: those who had previously had an MR examination (Group A, n = 105; 66%) and those who had not (Group B, n = 55; 34%). Group A consisted of two smaller subgroups, namely patients who had both their current and previous MR examinations in the same radiology department (Subgroup α1, n = 23; 14%) and patients who had their previous and current MR examinations in different radiology departments (Subgroup α2, n = 82; 51%) (Figure 2).


Patients' experience of outsourcing and care related to magnetic resonance examinations.

Tavakol Olofsson P, Aspelin P, Bergstrand L, Blomqvist L - Ups. J. Med. Sci. (2014)

MR examinations: number of examinations of different anatomic regions.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4248075&req=5

Figure 1: MR examinations: number of examinations of different anatomic regions.
Mentions: The most common MR examinations the patients had undergone were those of the knee or spine, which together constituted 58% of the examinations (Figure 1). Two different groups of patients were separated in the analysis: those who had previously had an MR examination (Group A, n = 105; 66%) and those who had not (Group B, n = 55; 34%). Group A consisted of two smaller subgroups, namely patients who had both their current and previous MR examinations in the same radiology department (Subgroup α1, n = 23; 14%) and patients who had their previous and current MR examinations in different radiology departments (Subgroup α2, n = 82; 51%) (Figure 2).

Bottom Line: The interview was designed as a verbal questionnaire.Sixty-nine percent of the patients could neither choose nor influence the location at which they were examined.If patients were informed about outsourcing and could also choose where to have their examination, key factors contributing to patient satisfaction could be met even when MR examinations are outsourced.

View Article: PubMed Central - PubMed

Affiliation: Department of Clinical Science, Intervention and Technology at Karolinska Institutet, Division of Medical Imaging and Technology , Stockholm , Sweden.

ABSTRACT

Background: Outsourcing radiological examinations from public university hospitals affects the patient, who has to attend a different clinic or hospital for the radiological examination. We currently have a limited understanding of how patients view outsourcing and their care related to MR examinations.

Aim: To examine the experiences of patients who are sent to private radiology units when their referrals for MR examinations are outsourced from a university hospital, as well as to explore factors which influence patient satisfaction regarding the quality of care related to the MR examination.

Methods: A group of patients (n = 160) referred for MR examinations and either examined at a university hospital or at an external private unit were interviewed. The interview was designed as a verbal questionnaire. Data were analyzed using Student's t test, analysis of variance (ANOVA), and Pearson's correlation.

Results: Sixty-nine percent of the patients could neither choose nor influence the location at which they were examined. For those who could, aspects that influenced the patient's choice of radiology department were: short waiting time 79% (127/160), ease of traveling to the radiology department 68% (110/160), and short distance to their home or work 58% (93/160). For 40% (60/160) of the patients, a short time in the waiting room was related to a positive experience of the MR examination.

Conclusion: If patients were informed about outsourcing and could also choose where to have their examination, key factors contributing to patient satisfaction could be met even when MR examinations are outsourced.

Show MeSH