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Healthcare provider and patient perspectives on diagnostic imaging investigations.

Makanjee CR, Bergh AM, Hoffmann WA - Afr J Prim Health Care Fam Med (2015)

Bottom Line: Twenty-four patients were conveniently selected at a public district hospital complex and were followed throughout their journey in the hospital system, from admission to discharge.The second phase entailed focus group interviews conducted with providers in the district hospital and adjacent academic hospital (medical officers and family physicians, nurses, radiographers, radiology consultants and registrars).Two main themes guided our analysis: (1) provider perspectives; and (2) patient dispositions and reactions.

View Article: PubMed Central - PubMed

Affiliation: Faculty of Health Sciences, Department of Radiography, University of Pretoria. chandra.makanjee@up.ac.za.

ABSTRACT

Background: Much has been written about the patient-centred approach in doctor-patient consultations. Little is known about interactions and communication processes regarding healthcare providers' and patients' perspectives on expectations and experiences of diagnostic imaging investigations within the medical encounter. Patients journey through the health system from the point of referral to the imaging investigation itself and then to the post-imaging consultation. AIM AND SETTING: To explore healthcare provider and patient perspectives on interaction and communication processes during diagnostic imaging investigations as part of their clinical journey through a healthcare complex.

Methods: A qualitative study was conducted, with two phases of data collection. Twenty-four patients were conveniently selected at a public district hospital complex and were followed throughout their journey in the hospital system, from admission to discharge. The second phase entailed focus group interviews conducted with providers in the district hospital and adjacent academic hospital (medical officers and family physicians, nurses, radiographers, radiology consultants and registrars).

Results: Two main themes guided our analysis: (1) provider perspectives; and (2) patient dispositions and reactions. Golden threads that cut across these themes are interactions and communication processes in the context of expectations, experiences of the imaging investigations and the outcomes thereof.

Conclusion: Insights from this study provide a better understanding of the complexity of the processes and interactions between providers and patients during the imaging investigations conducted as part of their clinical pathway. The interactions and communication processes are provider-patient centred when a referral for a diagnostic imaging investigation is included.

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The data-analysis process.
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Figure 0001: The data-analysis process.

Mentions: All audio-recordings were transcribed. One researcher (C.R.M.) conducted the first round of data analysis manually. This was followed by several consensus discussions by the research team. Figure 1 illustrates the data analysis process. The phase one data analysis followed a ‘bottom up’ (p. 38)15 approach in which the data from each patient case (including observations and provider interviews) were analysed by coding for categories. Data were organised into four components. Data from the entry and exit interviews and observations were grouped together and analysed concurrently to inform the patient’s journey, whereas the providers’ individual interview data informed the provider perspective. Emergent codes for each patient case were compared, consolidated and expanded with the analysis of each subsequent patient case. At the next level of analysis, categories emerging from the patients’ journeys and those from the provider perspectives were compared and ultimately integrated in a comprehensive provisional structure of categories, subthemes and themes.


Healthcare provider and patient perspectives on diagnostic imaging investigations.

Makanjee CR, Bergh AM, Hoffmann WA - Afr J Prim Health Care Fam Med (2015)

The data-analysis process.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4666288&req=5

Figure 0001: The data-analysis process.
Mentions: All audio-recordings were transcribed. One researcher (C.R.M.) conducted the first round of data analysis manually. This was followed by several consensus discussions by the research team. Figure 1 illustrates the data analysis process. The phase one data analysis followed a ‘bottom up’ (p. 38)15 approach in which the data from each patient case (including observations and provider interviews) were analysed by coding for categories. Data were organised into four components. Data from the entry and exit interviews and observations were grouped together and analysed concurrently to inform the patient’s journey, whereas the providers’ individual interview data informed the provider perspective. Emergent codes for each patient case were compared, consolidated and expanded with the analysis of each subsequent patient case. At the next level of analysis, categories emerging from the patients’ journeys and those from the provider perspectives were compared and ultimately integrated in a comprehensive provisional structure of categories, subthemes and themes.

Bottom Line: Twenty-four patients were conveniently selected at a public district hospital complex and were followed throughout their journey in the hospital system, from admission to discharge.The second phase entailed focus group interviews conducted with providers in the district hospital and adjacent academic hospital (medical officers and family physicians, nurses, radiographers, radiology consultants and registrars).Two main themes guided our analysis: (1) provider perspectives; and (2) patient dispositions and reactions.

View Article: PubMed Central - PubMed

Affiliation: Faculty of Health Sciences, Department of Radiography, University of Pretoria. chandra.makanjee@up.ac.za.

ABSTRACT

Background: Much has been written about the patient-centred approach in doctor-patient consultations. Little is known about interactions and communication processes regarding healthcare providers' and patients' perspectives on expectations and experiences of diagnostic imaging investigations within the medical encounter. Patients journey through the health system from the point of referral to the imaging investigation itself and then to the post-imaging consultation. AIM AND SETTING: To explore healthcare provider and patient perspectives on interaction and communication processes during diagnostic imaging investigations as part of their clinical journey through a healthcare complex.

Methods: A qualitative study was conducted, with two phases of data collection. Twenty-four patients were conveniently selected at a public district hospital complex and were followed throughout their journey in the hospital system, from admission to discharge. The second phase entailed focus group interviews conducted with providers in the district hospital and adjacent academic hospital (medical officers and family physicians, nurses, radiographers, radiology consultants and registrars).

Results: Two main themes guided our analysis: (1) provider perspectives; and (2) patient dispositions and reactions. Golden threads that cut across these themes are interactions and communication processes in the context of expectations, experiences of the imaging investigations and the outcomes thereof.

Conclusion: Insights from this study provide a better understanding of the complexity of the processes and interactions between providers and patients during the imaging investigations conducted as part of their clinical pathway. The interactions and communication processes are provider-patient centred when a referral for a diagnostic imaging investigation is included.

Show MeSH