Physician Orders Contribute To High-Tech Imaging Slowdown
Physician Orders Contribute To High-Tech Imaging Slowdown
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DOI：
10.1377/hlthaff.2009.0528
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发表时间：
2010-01-01
期刊：
影响因子：
9.7
通讯作者：
Parker, Laurence
中科院分区：
文献类型：
--
作者：
Levin, David C.;Rao, Vijay M.;Parker, Laurence
2000年至2005年，医疗保险门诊患者使用先进诊断成像(磁共振成像、计算机断层扫描和核医学)的比率上升了72.7%，引发了政策制定者的担忧。然而，对这些考试随意使用的分析表明，它们的使用在2005年后基本稳定下来。一些人将此归功于2005年的《赤字削减法案》，该法案大幅减少了在医生办公室进行先进成像的报销。但是，医院门诊设施比医生办公室的水平更明显这一事实表明，解释存在于其他地方。更有可能的是，医生的订购模式发生了变化，可能是由于专业协会颁布的放射业务管理公司(RBM)和成像指南的影响。
The utilization rate of advanced diagnostic imaging (magnetic resonance imaging, computed tomography, and nuclear medicine) in Medicare outpatients rose 72.7 percent between 2000 and 2005, sparking concern among policymakers. However, analysis of discretionary use of these exams indicates that their use largely stabilized after 2005. Some have credited the Deficit Reduction Act of 2005, which sharply reduced reimbursements for advanced imaging done in physicians' offices. But the fact that the leveling was more pronounced in hospital outpatient facilities than in physicians' offices indicates that the explanation lies elsewhere. More likely, there has been a change in physicians' ordering patterns, possibly due to the influence of radiology business management companies (RBMs) and imaging guidelines promulgated by specialty societies.