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Identifying Radiological Needs of Referring Clinicians

机译：确定转诊医生的放射学需求

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摘要

To provide prospective information about quality- and satisfaction-related product features in radiology, a customer-centered approach for acquiring clinicians' requirements and their prioritizations is essential. We introduced the Kano model for the first time in radiology to obtain such information. A Kano questionnaire, consisting of pairs of questions regarding 13 clinician requirements related to computed tomography (CT), magnetic resonance imaging (MRI) access and report turnaround time (RTT), was developed and administered. Each requirement was assigned a Kano category, and its satisfaction and dissatisfaction coefficients were calculated and presented in a Kano diagram. The data were stratified based on different clinics and on staff and resident clinicians. The time interval was evaluated between the completion of an examination and the first attempt to access the report by a clinician. Consultation for modality selection and scheduling and access to CT within 24 h and RTT within 8 to 24 h were considered as must-be requirements. Access to CT within 4 h and within 8 h, access to MRI within 8 h and within 24 h, and access to RTT within 4 h were one-dimensional requirements. The extension of operation time for CT or MRI, as well as MRI access within 4 h, was considered attractive. Eight out of nine clinics considered RTT within 8 h as a must-be requirement. There were differences in responses both among different clinics and between staff and resident clinicians. Access attempts to reports by clinicians in the first 4 h after the examination completion accounted for 65 % of CTs and 49 % of MRIs.
机译：为了提供放射学中与质量和满意度相关的产品功能的前瞻性信息，以客户为中心的方法来获取临床医生的要求及其优先级至关重要。为了获得此类信息，我们在放射学中首次引入了Kano模型。开发并管理了一份Kano问卷，该问卷由成对的13个临床医生需求组成，涉及计算机断层扫描（CT），磁共振成像（MRI）访问和报告周转时间（RTT）。每个需求都分配了一个Kano类别，并计算了其满意度和不满意系数，并在Kano图中显示。根据不同的诊所以及员工和住院医生对数据进行分层。在完成检查和临床医生首次尝试访问报告之间评估了时间间隔。必须在24小时内进行模态选择和调度以及CT的访问以及8-24小时内的RTT的咨询。一维要求是在4小时和8小时内访问CT，在8小时和24小时内访问MRI，在4小时之内访问RTT。延长CT或MRI的手术时间以及在4小时内进行MRI通路被认为具有吸引力。 9家诊所中有8家在8小时内将RTT视为必不可少的要求。在不同诊所之间以及在工作人员和住院医生之间的反应存在差异。在检查完成后的头4小时内，临床医生尝试访问报告的尝试占CT的65％和MRI的49％。

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  • 来源
    《Journal of Digital Imaging》 |2013年第3期|393-401|共9页
  • 作者

    Li Zhang; Antje Hefke; Jens Figiel; Ulrike Schwarz; Marga Rominger; Klaus Jochen Klose;

  • 作者单位

    Department of Diagnostic Radiology Philipps University Marburg University Hospital Giessen and Marburg">(1);

    Department of Diagnostic Radiology Philipps University Marburg University Hospital Giessen and Marburg">(1);

    Department of Diagnostic Radiology Philipps University Marburg University Hospital Giessen and Marburg">(1);

    Department of Diagnostic Radiology Philipps University Marburg University Hospital Giessen and Marburg">(1);

    Department of Diagnostic Radiology Philipps University Marburg University Hospital Giessen and Marburg">(1);

    Department of Diagnostic Radiology Philipps University Marburg University Hospital Giessen and Marburg">(1);

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  • 原文格式 PDF
  • 正文语种 eng
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  • 关键词

    Kano model; Consumer satisfaction; Performance measurement; Quality; Radiology workflow;

    机译：卡诺模型消费者满意度;绩效评估;质量;放射学工作流程;

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