Communicating Findings: A Justification and Framework for Direct Radiologic Disclosure to Patients

被引:14
作者
Amber, Ian [1 ]
Fiester, Autumn [2 ]
机构
[1] Penn Hosp, Dept Radiol, Philadelphia, PA 19107 USA
[2] Univ Penn, Sch Med, Ctr Bioeth, Philadelphia, PA 19104 USA
关键词
clinical practice; communication; ethics; health care systems; patient care; INFORMATION; CARE; RADIOGRAPHS; PREFERENCES; DUTY;
D O I
10.2214/AJR.12.9468
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
OBJECTIVE. Radiologists' delivery of imaging results to patients remains controversial. One model of communication suggests limiting disclosure to normal results. We argue that disclosing radiologic findings to patients is justified in all categories of results. CONCLUSION. Once a doctor-patient relationship has been established, we claim that it is morally justifiable for radiologists to communicate findings directly to their patients. The practice guidelines that we advocate employ a sliding scale based on the diagnostic confidence of imaging results.
引用
收藏
页码:586 / 591
页数:6
相关论文
共 25 条
[1]   Morality, ethics, and radiologists' responsibilities [J].
Armstrong, JD .
AMERICAN JOURNAL OF ROENTGENOLOGY, 1999, 173 (02) :279-284
[2]   TRANSVAGINAL US APPEARANCE OF ENDOMETRIAL ABNORMALITIES [J].
ATRI, M ;
NAZARNIA, S ;
ALDIS, AE ;
REINHOLD, C ;
BRET, PM ;
KINTZEN, G .
RADIOGRAPHICS, 1994, 14 (03) :483-492
[3]   Managing Incidental Findings on Abdominal CT: White Paper of the ACR Incidental Findings Committee [J].
Berland, Lincoln L. ;
Silverman, Stuart G. ;
Gore, Richard M. ;
Mayo-Smith, William W. ;
Megibow, Alec J. ;
Yee, Judy ;
Brink, James A. ;
Baker, Mark E. ;
Federle, Michael P. ;
Foley, W. Dennis ;
Francis, Isaac R. ;
Herts, Brian R. ;
Israel, Gary M. ;
Krinsky, Glenn ;
Platt, Joel F. ;
Shuman, William P. ;
Taylor, Andrew J. .
JOURNAL OF THE AMERICAN COLLEGE OF RADIOLOGY, 2010, 7 (10) :754-773
[4]   Malpractice issues in radiology - Communicating findings of radiologic examinations: Whither goest the radiologist's duty? [J].
Berlin, L .
AMERICAN JOURNAL OF ROENTGENOLOGY, 2002, 178 (04) :809-815
[5]   Are radiologists contracted by third parties to interpret radiographs liable for not communicating results directly to patients? [J].
Berlin, L .
AMERICAN JOURNAL OF ROENTGENOLOGY, 2002, 178 (01) :27-33
[6]  
Bluth EI, 2001, DECISIONS IMAGING EC, V14, P9
[7]  
Brant-Zawadski MN, 2001, DIAGN IMAGING SAN FR, V23, P29
[8]   Early MRI in the management of clinical scaphoid fracture [J].
Brydie, A ;
Raby, N .
BRITISH JOURNAL OF RADIOLOGY, 2003, 76 (905) :296-300
[9]  
Capaccio E, 2010, INSIGHTS IMAGING, V1, P83, DOI 10.1007/s13244-009-0003-1
[10]   SUSPECTED SCAPHOID FRACTURES - THE VALUE OF RADIOGRAPHS [J].
DIAS, JJ ;
THOMPSON, J ;
BARTON, NJ ;
GREGG, PJ .
JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 1990, 72 (01) :98-101