流动驻科放射科医生模式的理论探索

A Theoretical Exploration of Mobile Resident Radiologist Model

摘要: 放射科医生长期以放射科为工作单元，独立承担全院的影像诊疗工作，但放射科与临床科室在空间上分离，沟通相对不便，一定程度上影响了医院医疗工作的效率及质量。多学科团队(Multi-Disciplinary Team, MDT)诊疗模式及“院中院”模式相对缓解了放射科医生与临床医生沟通缺乏这一问题，但目前放射科医生的价值仍然不能满足临床医生的需求。流动驻科放射科医生模式是在一定时期内，特定的放射科医生入驻特定的临床科室，与此临床科室的临床医生一起办公，近距离接触病人，获取第一手临床资料，进行更高效、更精准、更全面的影像诊疗服务并只为此科室的患者服务。当入驻期满，则入驻下一个临床科室。不同驻科放射科医生之间可进行疑难病例会诊。流动驻科放射科医生具有流动性及相对专一性，并可与临床医生及患者进行深度沟通，有利于进一步发挥放射科医生的价值，提高医院诊疗效率和质量；同时，还能增加医患沟通机会，提高患者对医疗服务的满意度。

Abstract: For a long time, radiologists take the radiology department as the work unit to independently undertake the imaging diagnosis and treatment work of the whole hospital. However, the spatial separation between the radiology department and the clinical department makes communication relatively inconvenient, which affects the efficiency and quality of the hospital’s medical work to a certain extent. Multi-Disciplinary Team (MDT) diagnosis and treatment model and “hospital within hospital” model have alleviated the lack of communication between radiologists and clinicians, but the value of radiologists still fails to meet the needs of clinicians. The mobile resident radiologist model is that in a certain period of time, specific radiologists will enter a specific clinical depart-ment, work together with the clinicians in the clinical department, get close contact with patients, obtain first-hand clinical data, and provide more efficient, accurate and comprehensive imaging diagnosis and treatment services for the patients in this department. When the term of entry expires, it will enter the next clinical department. Difficult cases may be consulted between different resident radiologists. Mobile resident radiologists are mobile and relatively specific, and can communicate with clinicians and patients in depth, which is conducive to further playing the value of radiologists, and improving the efficiency and quality of hospital diagnosis and treatment. At the same time, it can also increase doctor-patient communication opportunities and improve patients’ satis-faction with medical services.