Journal
INSIGHTS INTO IMAGING
Volume 12, Issue 1, Pages -Publisher
SPRINGER
DOI: 10.1186/s13244-020-00943-x
Keywords
Value-based healthcare; Radiology; Patient empowerment
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The survey conducted on patients in early 2019 aimed to improve the concept of Value-Based Radiology (VBR) in Europe, ensure radiology's value is properly weighted in Value-Based Health Care (VBH) metrics, and maximize the value of radiological services to patients. Results showed that while most patients were generally satisfied with the radiological services they received, there were areas such as information provision and availability of radiologists for consultation that needed improvement. Lack of awareness of information entitlement and unfamiliarity with VBR and VBH concepts were also highlighted in the responses from 400 patients across 22 countries.
Rationale and methodologyA survey of patients was carried out between January and June 2019, to better understand how patients interpret value in relation to radiology as a means to refining the concept of Value-Based Radiology (VBR) in Europe, ensure radiology's value is properly weighted in Value-Based Health Care (VBH) metrics, and maximise the value of radiological services to patients. The survey was disseminated via various heads of radiology departments, ESR officers, patient organisations, and ESR website and social media channels.ResultsResponses were received from 400 patients from 22 countries. Whilst most expressed general satisfaction with the radiological services they received, certain aspects of the radiological services they received left room for improvement. Thirty-six percent of respondents reported that they were not satisfied with the information provided about the risks and benefits of procedures, and thirty-three percent reported not being satisfied with the availability of radiologists for consultation, potentially suggesting that some patients lack sufficient information to participate fully in treatment decisions. Patients were often unaware of what information they were entitled to receive. Over eighty percent of respondents were unfamiliar with the concepts of Value-Based Radiology and/or Value-Based Health Care.ConclusionIn addition to procedural correctness (correct diagnosis, appropriate procedures performed), patients highly value information and communication with their radiologist (information provided about procedures, explanation of results, personal consultation). Lack of communication was found to be a cause of dissatisfaction in many cases. This could suggest a means of improving patient outcomes as measured by Value-Based Health Care metrics.
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