Radiologists’ satisfaction and perceptions of medical imaging technologists’ performance: A Cross-Sectional Survey in Albania and Kosovo

By Fluturim NELA, Sulejman HAXHI, Mustafe BUZOKU

Abstract
Purpose: This study aims to evaluate radiologists’ satisfaction and perceptions regarding the performance of medical imaging technologists (MITs) in Albania and Kosovo, focusing on clinical competence, protocol adherence, workflow reliability, communication practices, and areas requiring educational improvement.
Design/methodology/approach: A cross-sectional online survey was conducted in 2025 among practicing radiologists in Albania and Kosovo. The questionnaire assessed demographic characteristics, years of experience, perceived technical skills of MITs, patient management abilities, radiation protection practices, and overall workflow performance. Descriptive statistics and comparative analyses between Albania and Kosovo were performed. Findings: A total of 41 radiologists were included in the analysis (Albania n=27; Kosovo n=14). Nearly half of the respondents had more than ten years of experience. Overall satisfaction with MIT performance demonstrated a mean score of 7.0 (SD 1.95) on a 0–10 scale, indicating moderate-to-high satisfaction. Reported challenges included inconsistent protocol familiarity, occasional lapses in radiation protection practices, and variable confidence during complex imaging procedures. Radiologists highlighted the need for enhanced practical training, stronger clinical protocol education, and improved proficiency in emerging technologies, including AI-based post-processing.Research limitations/implications: The study includes a modest sample size and excludes North Macedonia due to insufficient responses, which may limit regional generalizability.Practical implications: Findings may support curriculum enhancement, targeted CPD programs, and institutional strategies to strengthen MIT performance and workflow efficiency.  Social implications: Improved technologist competence may positively influence patient safety, diagnostic quality, and public trust in radiology services.Originality/value: This study provides the first binational assessment of radiologists’ perceptions of MIT performance in Albania and Kosovo, highlighting key competency gaps and training priorities for the region.