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Policy development for CT and MRI services in Manitoba
1Department of Radiology, University of Manitoba, Winnipeg, Canada.
European Journal of Radiology
|October 1, 1992
Summary
Canadian healthcare is evolving. A review found 33,552 computed tomography (CT) scans are reasonable for 1.1 million people, recommending resource allocation based on clinical need.
Area of Science:
- Health economics
- Medical imaging utilization
- Canadian healthcare policy
Background:
- Economic shifts impact Canadian medicine.
- Manitoba has 4 hospitals with CT services; 8 planned expansion.
- Ministry of Health requested a review of CT services.
Purpose of the Study:
- To assess the clinical need for computed tomography (CT) services in Manitoba.
- To evaluate the cost-effectiveness and resource allocation for CT scanners.
- To provide recommendations for future CT service expansion.
Main Methods:
- Analysis of 13,996,240 physician claims and 149,480 hospital discharges across 287 disease categories.
- Reviewed clinical activity data to determine reasonable CT examination numbers.
- Formal review process involving 12 hospitals and 7 experts.
Main Results:
- 33,552 CT examinations are deemed reasonable for a population of 1.1 million.
- Annual operating cost per CT scanner is estimated at one million dollars.
- Magnetic Resonance Imaging (MRI) is expected to reduce CT use for neurological conditions.
Conclusions:
- Further resource allocation for CT services should be contingent on proven clinical need.
- Reactivation of a strong management committee is recommended.
- Anticipated growth in MRI for nervous system diseases may impact future CT demand.