Current and future funding streams for paediatric postmortem imaging: European Society of Paediatric Radiology survey results.
Current and future funding streams for paediatric postmortem imaging: European Society of Paediatric Radiology survey results.
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DOI：
10.1007/s00247-022-05485-6
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发表时间：
2023-03
影响因子：
2.3
通讯作者：
Arthurs, Owen J.
中科院分区：
文献类型：
--
作者：
Chambers, Greg;Shelmerdine, Susan C.;Aertsen, Michael;Dohna, Martha;Goergen, Stacy K.;Johnson, Karl;Klein, Willemijn M.;Miller, Elka;Paertan, Gerald;Perry, David;Rao, Padma;Robinson, Claire;Stegmann, Joachim;Taranath, Ajay;Whitby, Elspeth;van Rijn, Rick R.;Arthurs, Owen J.
围产期和儿童死后成像已被接受为一种非侵入性替代或辅助尸检。然而，各机构筹资模式的差异是阻碍统一提供这项服务的主要因素。描述目前欧洲和非欧洲机构提供儿科死后成像服务的资助模式，并讨论未来提供死后成像服务的障碍。在为期6个月（2021年3月至8月）的时间里，向欧洲儿科放射学会（ESPR）和ESPR尸检成像工作组的成员分发了一项基于网络的16个问题的调查。调查问题与所提供的放射学和尸检服务有关，以及如何在被调查者所在的研究所提供这些服务。共收到18份个人回复（13/18,72.2%来自欧洲）。只有三分之一的机构（6/18,33.3%）全额资助了尸检成像服务，其余的机构只获得部分（6/18,33.3%）或没有资助（5/18,27.8%）。法医工作更普遍获得资金（全部或部分）（13/18,72%），特别是在国家提供资金的情况下。在没有提供资金的情况下，成像和报告费用由研究所承担。为了将死后成像扩展到常规临床应用，需要增加获取途径。这只能通过国家一级的正式供资来实现，可能是通过保健委托和保健政策制定者和病理服务机构承认该服务在胎儿或儿童死亡后提供的价值。经费应包括培训、设备、报告和图像获取方面的费用。在线版本包含补充材料，可在10.1007/s00247-022-05485-6获得。
Perinatal and childhood postmortem imaging has been accepted as a noninvasive alternative or adjunct to autopsy. However, the variation in funding models from institution to institution is a major factor prohibiting uniform provision of this service. To describe current funding models employed in European and non-European institutions offering paediatric postmortem imaging services and to discuss the perceived barriers to future postmortem imaging service provision. A web-based 16-question survey was distributed to members of the European Society of Paediatric Radiology (ESPR) and ESPR postmortem imaging task force over a 6-month period (March-August 2021). Survey questions related to the radiologic and autopsy services being offered and how each was funded within the respondent’s institute. Eighteen individual responses were received (13/18, 72.2% from Europe). Only one-third of the institutions (6/18, 33.3%) have fully funded postmortem imaging services, with the remainder receiving partial (6/18, 33.3%) or no funding (5/18, 27.8%). Funding (full or partial) was more commonly available for forensic work (13/18, 72%), particularly where this was nationally provided. Where funding was not provided, the imaging and reporting costs were absorbed by the institute. Increased access is required for the expansion of postmortem imaging into routine clinical use. This can only be achieved with formal funding on a national level, potentially through health care commissioning and acknowledgement by health care policy makers and pathology services of the value the service provides following the death of a fetus or child. Funding should include the costs involved in training, equipment, reporting and image acquisition. The online version contains supplementary material available at 10.1007/s00247-022-05485-6.
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影响因子：
2.3
作者：
Whitby E;Offiah AC;Shelmerdine SC;van Rijn RR;Aertsen M;Klein WM;Perry D;Goergen SK;Abel C;Taranath A;Gascho D;Miller E;Arthurs OJ
通讯作者：
Arthurs OJ
影响因子：
2.3
作者：
Arthurs, Owen J.;van Rijn, Rick R.;Sebire, Neil J.
通讯作者：
Sebire, Neil J.
影响因子：
7.1
作者：
Cannie, M.;Votino, C.;Jani, J.
通讯作者：
Jani, J.
影响因子：
2.3
作者：
Shelmerdine, Susan C.;Gerrard, Chandra Y.;Arthurs, Owen J.
通讯作者：
Arthurs, Owen J.
影响因子：
2.3
作者：
Cohen, Marta C.;Whitby, Elspeth;Offiah, Amaka C.
通讯作者：
Offiah, Amaka C.