Communicating laboratory test results for rheumatoid factor: what do patients and physicians want?
Communicating laboratory test results for rheumatoid factor: what do patients and physicians want?
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DOI：
10.2147/ppa.s104396
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发表时间：
2016
影响因子：
2.2
通讯作者：
Simacek K
中科院分区：
文献类型：
--
作者：
Kelman A;Robinson CO;Cochin E;Ahluwalia NJ;Braverman J;Chiauzzi E;Simacek K
本研究旨在探讨病人和医生对目前实验室检查报告实践的看法，并提出改进意见。进行了两项独立研究。第一个征求在线医生社区成员对当前实验室测试报告实践和可能改进的意见。第二个解决了相同的主题，但征求患者的反馈，并包括类风湿因子血液测试的模拟实验室测试报告的评价。医生和患者都表达了对实验室报告中患者友好信息的愿望。医生表示需要对患者进行实验室报告中假阳性和假阴性结果的教育，而患者则需要了解结果的意义、与其他检查的相关性和后续步骤。医生和患者看到了加强实验室检测报告以改善沟通的价值。虽然报告应包括患者重视的背景，但它们还应包含医生强调的警示性解释。改善实验室报告的患者咨询可能有助于改善这种以患者为中心的沟通，并促进患者对健康信息的更好理解，从而增加患者对自身健康护理的参与并改善结果。实验室报告通常由专家设计。在实验室报告设计中纳入患者可以促进沟通，并通过更好的患者参与来改善结果。
This study aimed to explore patient and physician perspectives on current laboratory test reporting practices and to elicit ideas for improvement. Two independent studies were conducted. The first solicited members of an online physician community for opinions on current laboratory test reporting practices and possible improvements. The second addressed the same topic, but solicited patient feedback, and included an evaluation of a mock laboratory test report for the rheumatoid factor blood test. Both physicians and patients expressed a desire for patient-friendly information on laboratory reports. Physicians expressed a need for education for patients around false-positive and false-negative results within laboratory reports, while patients sought context around the meaning of results, relevance to other tests, and follow-up steps. Physicians and patients see value in enhancing laboratory test reports to improve communication. While reports should include the context that patients value, they should also contain cautionary interpretation emphasized by physicians. Patient consultation on improving laboratory reports may help improve such patient-focused communication and promote greater patient understanding of health information, thereby increasing patient participation in their own health care and improving outcomes. Laboratory reports are typically designed by experts. Including patients in laboratory report design may facilitate communication and improve outcomes through better patient engagement.