Imaging: The Self-Referral Boom And The Ongoing Search For Effective Policies To Contain It
Imaging: The Self-Referral Boom And The Ongoing Search For Effective Policies To Contain It
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DOI：
10.1377/hlthaff.2010.1019
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发表时间：
2010-12-01
期刊：
影响因子：
9.7
通讯作者：
Goldsmith, Jeff
中科院分区：
文献类型：
--
作者：
Hillman, Bruce J.;Goldsmith, Jeff
当非放射科医生的医生拥有先进成像机器的所有权权益并推荐患者在该机器上进行诊断程序时，这种自我推荐行为就会产生利益冲突。大量研究表明，当医生可以从此类转诊中获得经济利益时，就会更多地使用高科技成像。本概述总结了有关影像自我推荐的问题，回顾了控制它的尝试的历史，以及限制其对支出影响的选项。最近医疗保险的付款减少限制了影像自我推荐的奖励，并且平价医疗法案强制披露医生的所有权权益。然而，影像自我推荐的回报仍然强劲。政策制定者继续寻找正确的机制来遏制这种做法，并确保医疗保险受益人只接受医疗上必要的成像研究，无论谁拥有或操作这些设备。
When a physician who isn't a radiologist holds an ownership interest in an advanced imaging machine and refers patients for diagnostic procedures on that machine, this act of self-referral presents a conflict of interest. Numerous studies demonstrate greater use of high-tech imaging when physicians can financially benefit from such referrals. This overview summarizes the issues surrounding imaging self-referral and reviews the history of attempts to control it, as well as options for limiting its impact on spending. Recent payment reductions by Medicare limited the rewards for imaging self-referral, and the Affordable Care Act mandated disclosure of physicians' ownership interests. However, the rewards for imaging self-referral remain strong. Policy makers continue to search for the right mechanisms for containing the practice and for assuring that Medicare beneficiaries receive only medically necessary imaging studies, regardless of who owns or operates the equipment.