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Related Experiment Videos

Diagnostic imaging management in Manitoba: 1995-2000

D W MacEwan1, D R Dyck, I D Greenberg

  • 1Department of Radiology, Health Sciences Centre, Winnipeg, Manitoba, Canada.

Radiographics : a Review Publication of the Radiological Society of North America, Inc
|September 1, 1994
PubMed
Summary
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Radiologic utilization in Manitoba increased by 9% since 1979, with escalating costs and personnel needs. Reducing imaging service funding requires altering medical infrastructure and physician referral behavior.

Area of Science:

  • Radiology
  • Medical Imaging Management
  • Health Services Research

Background:

  • A 5-year imaging management plan was developed for Manitoba's single insurance carrier.
  • Radiologic utilization data from fiscal year 1993 were reviewed.

Purpose of the Study:

  • To analyze radiologic utilization patterns in Manitoba.
  • To inform imaging management strategies and cost reduction efforts.

Main Methods:

  • Review of radiologic utilization data for fiscal year 1993.
  • Comparison of data with 1979 utilization statistics.
  • Analysis of patient population, number of studies, equipment, personnel, and costs.

Main Results:

  • Over 1 million imaging studies were performed in fiscal year 1993.

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  • A 9% increase in radiologic examinations was observed since 1979.
  • Significant cost escalation occurred, from approximately $25 million in 1979 to over $100 million in 1993.

    • Conclusions:

    • Reducing imaging service funding necessitates changes in medical infrastructure and physician practices.
    • Integration of hospital services and adherence to guidelines are crucial for cost containment.
    • Imaging is a support service, and its management requires a systemic approach.