Radiographers’ Perspectives on Justification of Radiographic Procedure in Klang Valley

Abstract

Justification ensures that radiological examinations are clinically warranted and that benefits outweigh radiation risks and costs. This qualitative exploratory study examined how radiographers in private hospitals in the Klang Valley perceive and enact justification in practice, and how this affects patients’ quality of life. Semi-structured interviews were conducted with ten purposively selected radiographers and analyzed thematically. Participants routinely checked clinical information, correlated indications with requested examinations and consulted referrers when doubt arose, but reported limited authority, inadequate referral details and workflow constraints. Strengthening policies, communication and digital referral systems could support safer, more patient-centered imaging.