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Related Experiment Videos

Abdominal imaging ordering patterns by referring provider specialty.

Andrew B Rosenkrantz1, Abimbola Ayoola2, Richard Duszak3

  • 1Department of Radiology, Center for Biomedical Imaging, NYU School of Medicine, NYU Langone Medical Center, 660 First Avenue, 3rd Floor, New York, NY, 10016, USA. Andrew.Rosenkrantz@nyumc.org.

Abdominal Radiology (New York)
|April 1, 2017
PubMed
Summary
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Referring provider specialty significantly influences abdominal imaging use. Internal medicine, urology, and emergency medicine are top prescribers, with distinct patterns across imaging modalities. Understanding these trends can optimize imaging appropriateness.

Area of Science:

  • Radiology
  • Healthcare Utilization
  • Medical Informatics

Background:

  • Growing volume of abdominal imaging procedures.
  • Referring provider decisions significantly impact imaging utilization.
  • Limited understanding of specialty-specific ordering patterns.

Purpose of the Study:

  • Investigate abdominal imaging utilization patterns based on referring provider specialty.
  • Identify distinct ordering behaviors across different medical specialties.
  • Inform targeted educational and policy initiatives.

Main Methods:

  • Utilized the 2014 DocGraph Medicare Referring Provider Utilization for Procedures (MrPUP) public use file.
  • Classified imaging services by modality and body region using Neiman Institute Types of Service (NITOS).
Keywords:
Abdominal imagingHealth policyMedicarePhysician specialtiesReferring providerUtilization

Related Experiment Videos

  • Determined referring provider specialties using Medicare Physician Compare data.

    • Main Results:

    • Analyzed 5,824,754 abdominal imaging transactions.
    • Top ordering specialties: internal medicine, urology, emergency medicine, family practice, and gastroenterology.
    • Modality-specific patterns observed: Emergency medicine for CT, gastroenterology for MRI/nuclear medicine, internal medicine for ultrasound/radiography.

    Conclusions:

    • Abdominal imaging ordering patterns by referring specialty are distinct and varied.
    • Awareness of these patterns can guide focused educational and policy efforts.
    • Potential to improve the appropriateness and utilization of abdominal imaging.