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Related Experiment Videos

Domiciliary radiography: an important service?

R H Sawyer1, U Patel, A W Horrocks

  • 1Department of Radiology, Wythenshawe Hospital, Manchester.

Clinical Radiology
|January 1, 1995
PubMed
Summary
This summary is machine-generated.

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General practitioners (GPs) value domiciliary radiography, with most finding it essential for patient care. Despite perceived cost-effectiveness, actual costs suggest departmental visits are cheaper, though domiciliary imaging significantly impacts patient management.

Area of Science:

  • Radiology
  • Healthcare Management
  • General Practice

Background:

  • Domiciliary radiography services provide diagnostic imaging for patients unable to attend hospital departments.
  • General practitioners (GPs) are key users of these services, influencing their utilization and perceived value.
  • Understanding GP perceptions and the economic implications is crucial for service sustainability.

Purpose of the Study:

  • To review GP perceptions of domiciliary radiography.
  • To compare the costs of domiciliary versus in-departmental radiography.
  • To assess the influence of domiciliary radiography on patient management.

Main Methods:

  • A postal questionnaire was distributed to 159 local GPs, with 130 responses.
  • A retrospective review of 50 consecutive domiciliary radiography examinations was conducted.

Related Experiment Videos

  • Cost analysis comparing domiciliary visits with ambulance transport to departmental visits was performed.

    • Main Results:

    • 71% of GPs had requested domiciliary radiography in the prior year, and 79% believed its loss would be detrimental.
    • While 98% deemed chest X-rays suitable for domiciliary settings, only 6% considered barium swallows appropriate.
    • Domiciliary visits averaged £82, compared to £60 for departmental visits, contradicting perceived cost savings; however, 50% of cases led to anticipated management changes.

    Conclusions:

    • GPs highly value domiciliary radiography, particularly for chest X-rays, and perceive it as essential for patient care.
    • The actual cost of domiciliary radiography appears higher than in-departmental imaging when transport is considered.
    • Despite cost discrepancies, domiciliary radiography significantly influences patient management, especially for elderly and immobile individuals, aiding in diagnoses like malignancy, infection, and fractures.