A new role for imaging in the diagnosis of physical elder abuse: results of a qualitative study with radiologists and frontline providers.
A new role for imaging in the diagnosis of physical elder abuse: results of a qualitative study with radiologists and frontline providers.
复制标题
影像学在老年人身体虐待诊断中的新作用：与放射科医生和一线提供者进行的定性研究的结果。
DOI：
10.1080/08946566.2019.1573160
复制
发表时间：
2019
影响因子：
1.9
通讯作者：
Sagar,Pallavi
中科院分区：
文献类型：
--
作者：
Lee,Mihan;Rosen,Tony;Murphy,Kieran;Sagar,Pallavi
儿科放射科医生通过识别典型的伤害模式，在发现儿童虐待方面发挥着关键作用。急诊放射科医生有潜力在发现老年人身体虐待方面发挥同样重要的作用；然而，他们目前在这一努力中几乎没有发挥作用。我们通过采访急诊放射学、老年医学、急诊医学、儿科放射学和儿科学的主治医生，来研究这种有限作用背后的原因，以及扩大这种作用的潜在策略。我们的访谈显示，放射科医生对老年人虐待检测的贡献目前受到培训差距、影像学相关知识差距和团队间临床沟通差距的限制。具体而言，由于一线医护人员与放射科医生之间缺乏关于患者损伤机制和功能状态的沟通，对老年创伤的影像学解释受到严重限制。改善这种沟通和重新定义ED工作流程对于扩大和优化放射科医生在老年人虐待检测中的作用至关重要。
Pediatric radiologists play a key role in the detection of child abuse through the identification of characteristic injury patterns. Emergency radiologists have the potential to play an equally important role in the detection of elder physical abuse; however, they currently play little to no part in this effort. We examine the reasons behind this limited role, and potential strategies to expand it, by interviewing attending faculty from Emergency Radiology, Geriatrics, Emergency Medicine, Pediatric Radiology, and Pediatrics. Our interviews revealed that radiologists’ contribution to elder abuse detection is currently limited by gaps in training, gaps in knowledge about imaging correlates, and gaps in inter-team clinical communication. Specifically, radiographic interpretation of elder trauma is severely restricted by lack of communication between frontline providers and radiologists about patients’ injury mechanism and functional status. Improving this communication and re-conceptualizing ED workflow is critical to expanding and optimizing radiologists’ role in elder abuse detection.