Rising use of diagnostic medical imaging in a large integrated health system.

Rising use of diagnostic medical imaging in a large integrated health system.
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DOI:
10.1377/hlthaff.27.6.1491
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发表时间:
2008-11
期刊:
Health affairs (Project Hope)
影响因子:
--
通讯作者:
Larson EB
Larson EB
中科院分区:
其他
文献类型:
--
作者:
Smith-Bindman R;Miglioretti DL;Larson EB

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Little has been published characterizing specific patterns of the dramatic rise in diagnostic imaging during the past decade. In a large health plan, 377,048 patients underwent 4.9 million diagnostic tests from 1997 through 2006. Cross-sectional imaging nearly doubled over those years, rising from 260 to 478 examinations per thousand enrollees per year. Imaging with computed tomography (CT) doubled, and imaging with magnetic resonance imaging (MRI) tripled. Cross-sectional studies added to existing studies instead of replacing them, and the annual per enrollee cost of radiology imaging more than doubled. The dramatic rise in imaging raises both costs and radiation exposure.
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