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International Perspectives on Radiology in Preventive Screening.

Marcel Brus-Ramer1, Frank J Lexa2, Pamela Kassing3

  • 1Department of Radiology, University of California, San Francisco, San Francisco, California.

Journal of the American College of Radiology : JACR
|August 25, 2016
PubMed
Summary
This summary is machine-generated.

International radiology practices vary significantly across nations for disease screening. Mammography screening shows similarities, but screening ages and coverage differ for other conditions like lung cancer.

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Screeninginternationalreimbursement

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Area of Science:

  • Radiology
  • Health Economics
  • International Health Policy

Background:

  • The International Economics Committee of the American College of Radiology (ACR) initiated a comparative study of radiology practices globally.
  • This article is the second in a series, focusing on international differences in imaging modality use for disease screening.

Purpose of the Study:

  • To compare the utilization of imaging modalities within screening algorithms for common diseases across various countries.
  • To provide radiologists with a detailed understanding of health system practice variations among selected nations.

Main Methods:

  • A standardized survey was administered to committee members from 10 countries (developed and developing).
  • Data collection focused on the use of imaging in screening protocols for diseases like breast cancer, lung cancer, and abdominal aortic aneurysm.

Main Results:

  • Striking differences and similarities were observed in radiology screening practices, even among Organisation for Economic Co-operation and Development (OECD) member nations.
  • Breast cancer screening (mammography) showed similar techniques and high insurance coverage, but differing recommended screening ages.
  • Lung cancer and abdominal aortic aneurysm screening exhibited variable participation and lower insurance coverage across surveyed countries.

Conclusions:

  • Survey data from practitioners offers valuable insights into the role of radiology in screening programs.
  • Comparative differences in screening programs, particularly the use of imaging, may influence future healthcare cost containment policies globally.
  • Understanding these international variations is crucial for informing health policy decisions in the United States and abroad.