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Effects of Changing the Reporting System from Decentralized/Modality-Based to Centralized/Subspecialized Radiology on Radiologists, Radiologic Technicians and Referring Physicians of a Multi-Center Radiology Network Cover

Effects of Changing the Reporting System from Decentralized/Modality-Based to Centralized/Subspecialized Radiology on Radiologists, Radiologic Technicians and Referring Physicians of a Multi-Center Radiology Network

Open Access
|Sep 2021

Figures & Tables

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Figure 1

Distribution of responses to the question: “Which system of radiological reporting do you prefer?”

This question was reserved for the group of radiologists (N = 55). Forty-seven radiologists answered the question. Forty-five radiologists (95.7%) preferred the centralized/subspecialized system of radiological reporting. Seven radiologists chose the non-applicable option (excluded). One missing answer (excluded).

Table 1

Distribution of all responses listed in detail in Tables 2 and 3.

N%
Agree Completely1,13121.7
Agree Somewhat1,90736.5
Neutral1,22523.5
Disagree Somewhat1583.0
Disagree Completely150.3
Non-applicable76414.6
Missing answers180.3
Total5,218100
Table 2

Results of the questions for radiologists and radiologic technicians.

RADIOLOGISTS (R) AND RADIOLOGIC TECHNICIANS (T)
QUESTIONSN (%)APPROVEMENT LEVELP-VALUE
AGREE COMPLETELYAGREE SOMEWHATNEUTRALDISAGREE SOMEWHATDISAGREE COMPLETELY
Ra22 (47.8)17 (37.0)7 (15.2)0084.8%p = 0.911
Rb27 (54.0)13 (26.0)5 (10.0)5 (10.0)080.0%
Ta19 (27.5)28 (40.6)17 (24.6)5 (7.2)068.1%p = 0.158
Tb28 (38.4)27 (37.0)15 (20.5)2 (2.7)1 (1.4)75.5%
Rc9 (19.6)33 (71.7)4 (8.7)0091.3%p = 0.013
Rd21 (40.4)30 (57.7)1 (1.9)0098.1%
R15 (10.6)25 (53.2)13 (27.7)4 (8.5)063.8%Not applicable
T18 (11.8)28 (41.2)25 (36.8)7 (10.3)053.0%Not applicable
R27 (14.6)26 (54.2)13 (27.1)2 (4.2)068.8%Not applicable
R310 (22.7)19 (43.2)14 (31.8)1 (2.3)065.9%Not applicable
Tc10 (14.1)47 (66.2)11 (15.5)2 (2.8)1 (1.4)80.3%p = 0.87
Td16 (21.6)40 (54.1)11 (14.9)7 (9.5)075.7%
Te11 (16.4)36 (53.7)17 (25.4)3 (4.5)070.1%p = 0.277
Tf15 (21.7)39 (56.5)11 (15.9)4 (5.8)078.2%

[i] [Capital-letters (‘R’ and ‘T’) indicate R = radiologists and T = radiologic technicians. Lower-case letters (‘a’, ‘b’, ‘c’, ‘d’, ‘e’ and ‘f’’) and the digits (‘1’, ‘2’ and ‘3’) abbreviate the individual questions as listed in Table 4].

Table 3

Results of the questions for referring physicians.

REFERRING CLINICIANS – MAIN HOSPITAL (H) AND NON-MAIN HOSPITALS (N)
QUESTIONSN (%)APPROVEMENT LEVELP-VALUE
AGREE COMPLETELYAGREE SOMEWHATNEUTRALDISAGREE SOMEWHATDISAGREE COMPLETELY
Ha53 (34.9)76 (50.0)20 (13.2)3 (2.0)084.9%p < 0.001
Hb99 (56.9)65 (37.4)9 (5.2)1 (0.6)094.3%
Na30 (44.1)21 (30.9)15 (22.1)2 (2.9)074.5%p = 0.951
Nb40 (44.0)31 (34.1)14 (15.4)5 (5.5)1 (1.1)78.1%
Hc23 (15.5)102 (57.3)22 (14.9)1 (0.7)072.8%p = 0.001
Hd51 (30.0)106 (62.4)13 (7.6)0092.4%
Nc13 (19.4)36 (53.7)16 (23.9)2 (3.0)073.1%p = 0.677
Nd15 (16.1)59 (63.4)19 (20.4)0079.5%
H138 (26.4)66 (45.8)39 (27.1)1 (0.7)072.2%Not applicable
N118 (26.9)23 (34.3)20 (29.9)6 (9.0)061.2%Not applicable

[i] [Capital-letters (‘H’ and ‘N’) indicate H = main hospital physicians and N = non-main hospital physicians). Lower-case letters (‘a’, ‘b’, ‘c’ and ‘d’) and the digit (‘1’) abbreviate individual questions as listed in Table 4].

Table 4

Summary and Legend of Questions for Radiologists (R), radiologic technicians (T), referring physicians of the main hospital (H), and physicians of the non-main hospitals (N).

Ra/Ta/Ha/NaOverall, how satisfied have you been with decentralized/modality-based radiology reporting (before system change)?
Rb/Tb/Hb/NbOverall, how satisfied have you been with centralized/subspecialized radiology reporting (after system change)?
Rc/Hc/NcHow did you perceive the quality of radiology reports with decentralized/modality-based radiology reporting (before system change)?
Rd/Hd/NdHow did you perceive the quality of radiology reports with centralized/subspecialized radiology reporting (after system change)?
R1/T1How would you rate your subjective productivity/efficiency since changing from decentralized/modality-based to centralized/subspecialized radiology reporting (comparison between both evaluated systems of radiological reporting)?
R2How did you perceive the quality of radiology reports since changing from decentralized/modality-based to centralized/subspecialized radiology reporting (comparison between both evaluated systems of radiological reporting)?
R3How professionally confident are you in your assigned subspecialization since changing from decentralized/modality-based to centralized/subspecialized radiology reporting (comparison between both evaluated systems of radiological reporting)?
TcHow would you rate the availability of residents (Radiology) with centralized/subspecialized radiology reporting (before system change)?
TdHow would you rate the availability of residents (Radiology) with centralized/subspecialized radiology reporting (after system change)?
TeHow would you rate the availability of senior radiologists with centralized/subspecialized radiology reporting (before system change)?
TfHow would you rate the availability of senior radiologists with centralized/subspecialized radiology reporting (after system change)?
H1/N1How would you rate the radiology turnaround time since changing from decentralized/modality-based to centralized/subspecialized radiology reporting (comparison between both evaluated systems of radiological reporting)?

[i] [Capital-letters (‘R’, ‘T’, ‘H’ and ‘N’) indicate R = radiologists, T = radiologic technicians, H = main hospital clinicians and N = non-main hospital clinicians, lower-case letters (‘a’, ‘b’, ‘c’, ‘d’, ‘e’ and ‘f’) and the digits (‘1’, ‘2’ and ‘3’) abbreviate the individual questions as listed above].

DOI: https://doi.org/10.5334/jbsr.2483 | Journal eISSN: 2514-8281
Language: English
Submitted on: Mar 20, 2021
Accepted on: Aug 28, 2021
Published on: Sep 16, 2021
Published by: Ubiquity Press
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year

© 2021 Andreas Zabel, Sebastian Leschk, Tim Fischer, Simon Wildermuth, Tobias Dietrich, published by Ubiquity Press
This work is licensed under the Creative Commons Attribution 4.0 License.