Journal of the Korean Society of Radiology (대한영상의학회지)

The Korean Society of Radiology (대한영상의학회)
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Status of Interchange of Medical Imaging in Korea: A Questionnaire Survey of Physicians

영상정보교류 실태 파악을 위한 의사 설문조사

  • Choi, Moon Hyung (Department of Radiology, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea) ;
  • Jung, Seung Eun (Department of Radiology, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea) ;
  • Kim, Sungjun (Department of Radiology, Gangnam Severance Hospital, Yonsei University College of Medicine) ;
  • Shin, Na-Young (Department of Radiology, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea) ;
  • Yong, Hwan Seok (Department of Radiology, Korea University Guro Hospital) ;
  • Woo, Hyunsik (Department of Radiology, SMG-SNU Boramae Medical Center) ;
  • Jeong, Woo Kyoung (Department of Radiology, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Jin, Kwang Nam (Department of Radiology, SMG-SNU Boramae Medical Center) ;
  • Choi, SeonHyeong (Department of Radiology, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine)
  • 최문형 (가톨릭대학교 의과대학 서울성모병원 방사선과) ;
  • 정승은 (가톨릭대학교 의과대학 서울성모병원 방사선과) ;
  • 김성준 (연세대학교 의과대학 강남세브란스병원 영상의학과) ;
  • 신나영 (가톨릭대학교 의과대학 서울성모병원 방사선과) ;
  • 용환석 (고려대학교 구로병원 영상의학과) ;
  • 우현식 (서울대학교 의과대학 서울특별시립 보라매병원 영상의학과) ;
  • 정우경 (성균관대학교 의과대학 삼성서울병원 영상의학과) ;
  • 진광남 (서울대학교 의과대학 서울특별시립 보라매병원 영상의학과) ;
  • 최선형 (성균관대학교 의과대학 강북삼성병원 영상의학과)
  • Received : 2018.02.12
  • Accepted : 2018.06.16
  • Published : 2018.11.01
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Abstract

The purpose of this study was to summarize the results of a survey for physicians with specialties other than radiology about imaging studies of patients referred from other institutions. The survey was promoted through individual contacts or social network service and physicians who voluntarily responded to the survey were the subjects of the study. The questionnaire consisted of 11 questions about basic information and referrals about medical imaging. A total of 160 physicians from 30 specialties participated in the survey and 95.6% of the respondents worked in tertiary care center or general hospital. Patients were frequently referred with outside medical images. The most frequently referred imaging modalities were computed tomography and magnetic resonance imaging. However, radiological reports from outside institutions were rarely referred. Most physicians thought that reinterpretation for outside imaging is necessary to acquire a secondary opinion. In conclusion, considering that outside radiological reports are frequently missing and there are high demands on reinterpretation for outside imaging, guidelines for referral of radiological reports with medical imaging, basic elements of radiological reports, and reinterpretation need to be developed.

이 연구의 목적은 영상정보교류의 효용성을 높이기 위한 영상 품질 기준 연구에서 영상정보교류의 실태를 파악하고 영상정보교류에 대한 의사들의 의견을 수렴하기 위해 시행한 설문조사의 결과를 정리하는 것이다. 설문조사는 개별 접촉 또는 소셜 네트워크 서비스를 통해 홍보하였고, 자발적으로 참여한 의사가 설문조사의 대상이다. 설문조사는 기본 정보 및 영상정보교류에 대한 11개의 문항으로 구성되었다. 총 30개 진료과의 전문의 160명이 설문조사에 참여하였고, 95.6%의 응답자가 상급종합병원 또는 종합병원에 근무하는 상태였다. 외부 병원에서 영상검사를 시행한 후 의뢰되는 환자가 빈번하였다. 하지만 판독소견서가 함께 교류되는 경우는 드물었고, 의뢰받은 의료기관의 영상의학과 전문의에 의한 재판독을 통해 이차적인 의견을 구하고자 하는 요구가 많았다. 결론적으로, 외부 판독소견서가 누락되는 경우가 많으므로 판독소견서가 영상정보와 함께 교류될 수 있도록 하는 방안의 마련이 필요하다. 또한 외부 판독이 있더라도 재판독이 필요하다는 의견이 많은 점을 고려할 때 판독소견서에 반드시 포함되어야 할 기본적인 판독소견서의 요소 및 외부 검사의 재판독에 대한 가이드라인이 필요할 것으로 생각된다.

Keywords

Acknowledgement

Grant : 보건의료정보화를 위한 진료정보교류 기반 구축 및 활성화

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