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首頁醫療資訊優質醫學醫療診斷的核心 ─ 臨床放射科及臨床覆核的重要性

醫療診斷的核心 ─ 臨床放射科及臨床覆核的重要性

來自: Medix團隊

儘管很多患者都從未見過分析他們個案的放射科醫生,但他們的角色常常被人誤解,甚至認為他們僅僅是技術人員,而事實上他們在診斷和治療病症時擔當極其重要的角色。有著這樣一個固有的專業領域,為何對影像進行審核還是如此重要?以及它對患者和醫療服務提供者又有何意義?

在1900年代初期放射科被定義為技術性服務,可是在現今醫健科技發技蓬勃的年代,醫健環境日新月異使得放射科醫生的所需技術也一直改變。現今的放射影像包括X光、電腦掃描(CT)、磁力共振(MRI)、核子醫學、正電子掃描(PET)和超聲波,以上通通都需要專業知識來分析及作出臨床結論。放射科的多元專業使其成為診斷的核心,是眾多患者求醫時不可或缺的一環。

 

醫生及外科醫生在治療患者時都需要依賴放射科的診斷結果,所以一次誤診能對患者造成無效,甚至有害的治療。BMJ Journals裡發表了一份驗屍報告,對在醫院死亡的患者進行了一項研究,以確定放射科錯誤診斷所帶來的影響。數據顯示當中有8%的死亡是由放射科誤診引致,也導致另外33%因相關影像而引起的診斷錯誤。為了改善醫健質素與安全,當分析影像時需要通過更嚴謹的過程以消除診斷錯誤,二次覆核及額外驗證也可以帶來更佳的醫療成果。此外,與外科醫生一樣,放射科醫生也應設定其專業領域,而其專業領域應與檢查相匹配,以確保評估的準確性。

 

該研究亦顯示,專家對過千個不同種類,而且對理想療法有重大影響的CT檢查進行重新評估,當中有14%改變了原有的醫療策略。 同時也發現當放射科專家是初始讀者時,能減低出現重要改變的機率,進一步證實放射科專家的臨床審核或二次分析影像(第二意見評估)的重要性,以為患者達至最理想的醫療成果。

 

額外的影像覆核在達至最佳臨床結果的目標上有著極大助力。Medix的全球認證網絡包含每一個範疇的放射科專家,我們絕對相信讓放射科專家審核所有影像能夠避免一切誤判或因過去診斷而出現的先入之見。

 

在Medix所管理的全球個案中,有55%的患者避免了不必要的醫療程序,另有43%的患者得到更佳的治療方案,而且每五個就有一個患者(20%)重新獲得正確的診斷。臨床覆核對患者和治療效果的重要性顯而易見。

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