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首页> 外文期刊>Journal of Clinical Ultrasound: JCU >Indications for pelvic sonography-Do patients and doctors agree?
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Indications for pelvic sonography-Do patients and doctors agree?

机译：盆腔超声检查的适应症-患者和医生同意吗？

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PURPOSE: Often, it seems that the patient history provided by the referring clinician on the sonography requisition form differs from that given by the patient during the sonographic examination. Because such a discrepancy in the history may delay the scan and disrupt the daily work flow while the referring clinician is contacted for clarification, we sought to document the incidence and cause of such discrepancies at our institution. METHODS: During a 3-month period, all outpatients who were referred for a pelvic sonographic examination were asked to indicate their understanding of why the examination had been requested. The health care providers' reasons for requesting sonography were recorded using a computer order entry system. Each pair of responses (health care provider and patient) were classified as either concordant or discordant. Patient and physician characteristics were fit into a logistic regression model with concordance of history as the outcome variable. RESULTS: One hundred fifty-six (90%) of the 173 patients enrolled in our study indicated that their health care provider had discussed with them the reason for ordering the sonographic examination. The histories provided by the patient and health care provider were concordant in 134 (77%) of 173 cases. The histories provided by the patient and health care provider were more likely to be concordant if the patient's insurance was a managed care plan or if the patient had a college or graduate level education, had been cared for by the same health care provider for more than 2 years, or had been seen by a female health care provider. Concordance of history was not associated with a higher incidence of abnormal sonographic findings. CONCLUSIONS: It appears that health care providers, despite increased demands on their time, adequately discuss with their patients the reasons for ordering a pelvic sonographic examination. However, our study suggests that health care providers may need to spend additional time with patients whose education is limited and that male physicians may need to pay particular attention to their communication with female patients. Copyright 2000 John Wiley & Sons, Inc.
机译：目的：通常，转诊临床医生在超声检查申请表上提供的患者病史似乎与患者在超声检查期间给出的病史不同。由于历史记录中的这种差异可能会延迟扫描，并在联系转诊临床医生进行澄清时中断日常工作流程，因此我们试图记录本机构中此类差异的发生率和原因。方法：在三个月的时间内，要求所有转诊接受盆腔超声检查的门诊患者表明他们对为什么要求进行检查的理解。使用计算机订单输入系统记录了医疗服务提供者要求进行超声检查的原因。每对响应（医疗保健提供者和患者）被分类为一致或不一致。将患者和医生的特征拟合到一个以历史记录作为结果变量的逻辑回归模型中。结果：参加本研究的173例患者中有156例（90％）表示他们的医护人员已与他们讨论了进行超声检查的原因。在173例病例中，有134例（77％）由患者和医疗保健提供者提供的病史是一致的。如果患者的保险是一项有管理的护理计划，或者患者受过大学或研究生的教育，并且由同一位医疗服务提供者提供的护理费用超过90美元，则患者和医疗服务提供者提供的历史记录更有可能保持一致2年，或曾经被女性保健人员看过。病史的一致性与异常超声检查结果的较高发生率无关。结论：尽管医疗服务提供者对时间的要求增加，但似乎与他们的患者充分讨论了进行骨盆超声检查的原因。但是，我们的研究表明，医疗保健提供者可能需要花更多的时间与受教育程度有限的患者在一起，并且男性医师可能需要特别注意与女性患者的沟通。版权所有2000 John Wiley＆Sons，Inc.

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