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Title: | Benefit-risk communication in paediatric imaging : what do referring physicians, radiographers and radiologists think, say and do? |
Authors: | Portelli, Jonathan L. McNulty, Jonathan P. Bezzina, Paul Rainford, Louise |
Keywords: | Pediatric radiography -- Malta -- Case studies Communication in paediatrics -- Safety measures Radiography, Medical -- Processing Radiography, Medical -- Safety measures Diagnostic imaging -- Patients |
Issue Date: | 2018 |
Publisher: | Elsevier |
Citation: | Portelli, J. L., McNulty, J. P., Bezzina, P., & Rainford, L. (2018). Benefit-risk communication in paediatric imaging: what do referring physicians, radiographers and radiologists think, say and do?. Radiography, 24(1), 33-40. |
Abstract: | Introduction: To assess how referrers and practitioners disclose benefit-risk information about medical imaging examinations to paediatric patients and their parents/guardians; to gauge their confidence in doing so; and to seek their opinion about who is responsible for disclosing such information. Methods: This study followed on from a previously published study, with a questionnaire distributed in staggered phases to 146 radiographers, 22 radiology practitioners, 55 emergency physicians and 43 paediatricians at a primary paediatric referral centre in Malta. The questionnaire sought details about referrers' and practitioners' practice of disclosing benefit-risk information, as well as their opinion about their confidence and responsibility to do so. Results: An overall response rate of 63.2% (168/266) was achieved. Most referrers and practitioners would generally explain the purpose of the imaging examination, with fewer providing benefit-risk information. The content and the approach adopted to communicate benefit-risk information varied, at times considerably. While 75% (123/164) felt that the responsibility to provide benefit-risk information was a shared one between referrers and practitioners, only 32.1% (53/165) reported a high level of confidence in their own ability to do so. Conclusions: Our findings highlight potential knowledge and skills gaps amongst local referrers and practitioners. This needs addressing so as to ensure that paediatric patients and their parents/guardians are provided with adequate, reassuring and consistent information. Additionally, we recommend that local referrers and practitioners come together and develop a consensus document that can offer guidance on how to go about discussing the benefits and risks of paediatric imaging examinations. |
URI: | https://www.um.edu.mt/library/oar/handle/123456789/92751 |
Appears in Collections: | Scholarly Works - FacHScRad |
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