Physician-patient communication in diagnostic examinations: what is the role of the radiologist?

Abstract

Historically, radiology has developed in a way that has increasingly distanced the radiologist from the patient. Currently, diagnostic imaging results are predominantly communicated through written reports. Written communication is not considered sufficient, verbal communication being essential for the performance of the modern radiologist to be considered satisfactory. However, a lack of preparation on the part of the radiologist when communicating the diagnosis, especially when it is not favorable (as is often the case in a cancer hospital), makes that conversation quite challenging. Studies conducted in other countries have demonstrated that there are a variety of opinions on the part of requesting physicians and patients regarding radiologist-patient communication, which can be explained by cultural differences. Although there is no rule regarding the best way to accomplish such communication, there are definitely incorrect ways. To bridge the gap between radiologists and patients and improve radiologist-patient communication, preparation of radiologists during their medical residency is fundamental. Therefore, it is important to address this question in Brazil. The objective of this study was to identify deeper discussions about the topic in the scientific literature. This analysis could help us map those involved and plan strategies to improve the ethical behavior of radiologists toward their patients.

Enhancing patient value efficiently: Medical history interviews create patient satisfaction and contribute to an improved quality of radiologic examinations

“…Possibly, radiology is the medical discipline most affected by technological advances [ 1 ]. Technological improvements in combination with an ever-increasing workload, shortage of radiologists, and necessity of uninterrupted and concentrated work may be the major factors that led to an almost complete separation of patients from their radiology diagnosticians [ 2 , 3 , 21 ]. This development has been recognized as a potential threat and challenge to the profession by the medical associations ACR and RSNA.…”

“…To the best of our knowledge, this is the first systematic study to confirm the importance of a medical interview prior to diagnostic radiology exams for both patient satisfaction and examination quality. Others have addressed the interesting questions whether radiologists should communicate the findings of the examination and their impressions directly to patients and thereby communicate with their patients after the exam [ 21 – 23 ] or have demonstrated the superiority of a radiologist versus a health questionnaire to obtain relevant medical information prior to an MRI exam [ 24 ].…”

Getting Rid of Patient’s Misconceptions About the Radiology Department Using Animated Video in the Waiting Room

“…Throughout history, the diagnostic radiologist has developed an increasing distance from the patient [1]. Because of modern imaging techniques and higher workloads, radiologists today seldom get to meet their patients.…”