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Should GPs have direct access to imaging for headache? A qualitative study of patients' views in the UK.
McKinlay, Alison; Underwood, Raphael; Wojewodka, Gabriella; Mazumder, Asif; Kilner, Rachael; Ridsdale, Leone.
Afiliación
  • McKinlay A; Department of Basic and Clinical Neuroscience, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.
  • Underwood R; Department of Basic and Clinical Neuroscience, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.
  • Wojewodka G; Department of Basic and Clinical Neuroscience, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.
  • Mazumder A; Neuroradiology Group, Department of Radiology, Lambeth Wing, Guy's and St Thomas' Hospitals NHS Foundation Trust, London, UK.
  • Kilner R; Department of Neurology, King's College Hospital, London, UK.
  • Ridsdale L; Department of Basic and Clinical Neuroscience, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.
BMJ Open ; 9(8): e029376, 2019 08 18.
Article en En | MEDLINE | ID: mdl-31427332
OBJECTIVE: We aimed to describe patients' views of a new referral pathway of general practitioner (GP) direct access to MRI, versus imaging after referral to a specialist. DESIGN: This qualitative study involved 20 semistructured interviews. Twenty patients (10 from each pathway) were purposively recruited and interviewed to describe their attitudes. SETTING: A neurology headache clinic and neuroradiology services from the boroughs of Southwark and Lambeth in South London, UK. PARTICIPANTS: Twenty patients were involved in this study. RESULTS: Over half of the participants felt relieved once they received their scan results, while some remained uncertain about the underlying cause of their symptoms. Some participants described a long wait to see a specialist. Others described a long wait time to receive scan results, especially from their GP. Spontaneous reduction in headache symptoms occurred for some participants and for others, normal imaging results allowed them to focus more on symptom management. CONCLUSION: Relief was reported especially when scan results had been explained clearly and without too much delay. Those with continuing pain focused on how to get relief from symptoms. Patient experience might be improved with clearer information from GPs about how patients can access results, standard reporting procedures and closer liaison between neuroradiology and GPs.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Derivación y Consulta / Satisfacción del Paciente / Médicos Generales / Cefalea Tipo de estudio: Qualitative_research Límite: Adult / Female / Humans / Male País/Región como asunto: Europa Idioma: En Revista: BMJ Open Año: 2019 Tipo del documento: Article Pais de publicación: Reino Unido
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Derivación y Consulta / Satisfacción del Paciente / Médicos Generales / Cefalea Tipo de estudio: Qualitative_research Límite: Adult / Female / Humans / Male País/Región como asunto: Europa Idioma: En Revista: BMJ Open Año: 2019 Tipo del documento: Article Pais de publicación: Reino Unido