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PHYSICIAN'S SURVEY

At GNMI, we’re always striving to provide the best possible imaging services for physicians and patients. That’s why your feedback is important to us. Not only do your comments help us with our continuous improvement efforts, they also ensure that we are in compliance with Accreditation Canada’s Clinical Practice Parameters & Facility Standards for Diagnostic Imaging. Please take a few moments to fill out this survey so we can serve you even better.

Please select the clinic that you referred your patient to:

Name of the Physician:

Specialist: (please specify)

Requisition form to order tests is:easy to followdifficult to follow

Is there enough space on the requisition form to document clinical information?YesNo

Patient identification information on reports is:excellentgoodadequate

Diagnostic information on reports is:very easy to understandeasy to understanddifficult to understand

Accuracy of diagnostic information on reports (as experienced from clinical management, other diagnostic work up performed, and follow up procedure) is:accurateadequately accuratenot accurate

Have you experienced any misdiagnosis or discrepancy in diagnostic accuracy?YesNo

If yes, please explain in detail:

Feedback from patients:very positivepositivenegative

When you call to make an appointment, does the staff at the GNMI clinic respond in a courteous and professional manner?YesNo

Is the radiologist easily available to discuss findings of a report when necessary?YesNo

Does your patients book appointments sooner at other clinics or hospitals for diagnostic imaging?YesNo

Does your reports reach you promptly and within acceptable time period?YesNo

Overall impression about the type of diagnostic imaging poor service your patients receive (eg. patient treatment and accuracy of diagnostic imaging diagnosis):excellentvery goodgood

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