Open Access
Table 2
Case studies on communication with, and engagement of patients.
| Case study | Main findings |
|---|---|
| 1. Justification, optimization, education and training at the Institute of Oncology (Slovenia) | Communication with patients perceived by medical staff as beneficial, as it can improve medical treatment, reduce patients’ concerns and doses to patients. Information about justification and optimization of IR use should be updated/included in printed information material and websites. Explanations provided to patients limited due to concern not to frighten people and lack of time. |
| 2. Informed consent among cancer patients undergoing radiotherapy (Romania, N = 86) | Consent is requested two days before the procedure. Information about the risks and benefits of the procedure, possible alternatives and general information are considered important by the patients; 10% find technical details about procedure less important. Most patients consider that information received satisfied their needs; half of respondents found information received di to understand; 40% recommended that information is given both orally and in writing. One in two patients consider that information should be given some days before therapy; others think this should be given immediately before the procedure. |
| 3. Justification, optimization of ionising radiation use and stakeholder engagement in paediatric CT-scan (Spain) | General lack of time and human resources in hospitals leads to less time devoted to communication with patients. Patients are informed about risks from radiation exposure mainly by the leading doctor; however, some wished to reconfirm with hospital RP professionals. Professional stakeholders argue for improving the basic knowledge among the general public on medical exposures and associated risks and benefits. Patients’ and professional associations could help by posting more information in their web pages or blogs, with open and easy access. |
| 4. Justification, optimization of ionising radiation use and stakeholder engagement in dental private clinics (Spain) | No information, in view of informed consent, is provide before the exposure, and in some dental clinics no optimization of doses is applied. Both professional stakeholders (dentists) and patients need to obtain more information about the use of IR in dental practices, to enable collaboration on decisions on IR use, justification and optimization. Professionals of dental clinics need additional education to update their knowledge on RP and new changes in law and its application in practice. |
| 5. Risk communication in curricula for medical professionals (International level) | Risk communication is seldom included in the training of medical specialists (radiology, radiation therapy, nuclear medicine). The gap between radiation protection activities at academic level and requirements at vocational level does not support stakeholder engagement activities and a penetration of the radiation protection community with the consciousness of the importance of risk communication skills in other areas than emergency management. The radiation protection community should encourage good risk communication approaches. Guidance for radiation risk communication should be provided for and co-developed with medical expert associations. |
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