在医疗保险人口中,医生对门诊诊断成像的使用和收费
B J Hillman1, G T Olson, P E Griffith
1Department of Radiology, University of Virginia School of Medicine, Charlottesville.
与自我转诊相比,将患者转诊给放射科医生进行诊断成像的医生导致使用率和费用较低. 非放射科医生的自我转诊显著增加了成像频率和每次护理的成本.
科学领域:
- 卫生经济学 卫生经济学
- 医疗实践模式 医疗实践模式
- 诊断成像利用的使用情况.
背景情况:
- 医生自我转诊诊断成像是一种常见的做法.
- 之前的研究表明,通过自我推,利用率和成本可能会增加.
- 了解成本和利用差异对于医疗保健政策至关重要.
研究的目的:
- 为了比较10种常见的临床表现的自我推和放射科医生推之间的诊断成像利用率和费用.
- 根据转诊模式分析成像的成本效益和频率.
主要方法:
- 对保险索赔数据库的分析,以识别医疗护理事件.
- 诊断成像的分类是自我推或放射科医生推.
- 介绍类型中平均成像频率和平均每次护理费用的比较.
主要成果:
- 自我推导致成像频率比放射科医生推高1.7至7.7倍 (P < .01).
- 每次护理的平均成像费用是自我推的1.6至6.2倍 (P < .01).
- 在办公室环境中,放射科医生在七次演示 (P < .01) 中的平均费用低于自我推的医生.
结论:
- 在办公室内进行成像的非放射科医生医生表现出更高的利用率和每次护理的成本增加.
- 调查结果强调了基于诊断成像推模式的重大财务和利用差异.
- 这项研究扩展了先前的研究,包括各种临床情景和先进的成像.
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