Journal
PATIENT EDUCATION AND COUNSELING
Volume 101, Issue 10, Pages 1814-1822Publisher
ELSEVIER IRELAND LTD
DOI: 10.1016/j.pec.2018.05.025
Keywords
Computed tomography; Cross-sectional study; Information preferences; Magnetic resonance imaging; Patient-centred care
Funding
- Australian Government Research Training Program Scholarship
- Australian National Breast Cancer Foundation [PF-16-011]
- National Health and Medical Research Council [APP1073317]
- Cancer Institute New South Wales Early Career Fellowship [13/ECF/1-37]
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Objective: Responsiveness to information preferences is key to high-quality, patient-centred care. This study examined the top ten preparatory information items not delivered in accordance with medical imaging outpatients' preferences, and patient characteristics associated with reporting a greater number of unmet information preferences. Methods: Magnetic resonance imaging and computed tomography outpatients were recruited consecutively in one major public hospital waiting room. Participants self-administered a touchscreen computer questionnaire assessing their sociodemographic and scan characteristics, and unmet preferences for 33 guideline-endorsed preparatory information items. Results: Of 317 eligible patients, 280 (88%) consented to participate. Given equal rankings, the top ten unmet information preferences included 13 items which were endorsed by at least 25% of participants, and commonly related to receiving 'too little' information. One item related to the pre-scan period, seven items to the scan period and five items to the post-scan period. None of the patient characteristics examined were significantly associated with reporting a greater number of unmet information preferences. Conclusion: There is room to improve responsiveness to medical imaging outpatients' preparatory information preferences. Improvements should be targeted at individuals, rather than groups defined by sociodemographic or scan characteristics. Practice Implications: A standardised approach to addressing individual patient's information preferences is needed. (C) 2018 Elsevier B.V. All rights reserved.
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