Sammendrag
Objectives: To explore radiographers’ actions toward inappropriate referrals and hindrances to assessing referrals.
Methods: An online survey was distributed to radiographers via the International Society of Radiographers and Radiological
Technologists (ISRRT) networks. The questionnaire consisted of 5-point Likert scale questions on radiographers’ actions to
supplement referral information, actions for unjustified referrals and hindrances to referral assessment. The questionnaire
was validated using a test–retest reliability analysis. Kappa values ≥ 0.6 were accepted. SPSS software was used for data
analysis and chi-square tests to compare subgroups.
Results Total responses received were 279. The most reported actions to supplement missing referral information were to
ask the patient or relative, examine the body region of concern and check medical records (73%, 70%, 67%, responded often/
always, respectively). The actions when confronted with unjustified referrals were reported equally to consult the radiologist,
referring clinician and radiographer (69–68% often/always responses). The hindering factors ranked high (agreed/strongly
agreed responses) pertained to inadequate information in referral forms (83%), ineffective communication among healthcare
professionals (79%), lack of training (70%) and allocated time (61%). Statistically significant associations were observed
for a few actions and hindrances with education level, modality of practice and responsibility to screen imaging referrals.
Conclusion: Radiographers consult colleagues about suspected unjustified referrals. Effective communication pathways, training and
time allocation to improve radiographers’ skills to assess referrals may enhance appropriate imaging and delivery of quality patient care.
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