非医生从业人员的诊断成像趋势以及与城市和实践范围权威机构的关联
Casey E Pelzl1, Elizabeth Y Rula1, Richard Duszak2
1The Harvey L. Neiman Health Policy Institute, Reston, VA.
Current problems in diagnostic radiology
|July 16, 2023
概括
非医生从业者 (NPP) 收取的诊断成像费用正在增加,特别是在具有较少限制性实践范围 (SOP) 法律的大都市地区. 需要进一步研究与NPP解释成像相关的质量和成本.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 医学经济学 医学经济学
- 政策分析 政策分析
背景情况:
- 非医生从业人员 (NPP) 在医疗保健提供中发挥着越来越重要的作用.
- 了解NPP诊断成像解释的趋势对于医疗保健政策和资源分配至关重要.
- 实践范围 (SOP) 规定的变化可能会影响NPP在诊断成像中的使用.
研究的目的:
- 评估核电站收费的诊断成像产品比例的不断变化.
- 分析这些变化在核电站计费成像中的变化如何因地理城市而异.
- 检查州级实践范围 (SOP) 条例对这些趋势的影响.
主要方法:
- 一项回顾性队列研究,利用2016-2020年患者索赔数据.
- 多变量建模来比较NPP解释与医生解释的成像几率.
- 分析成像率和趋势,按城市,SOP,成像模式和服务地点划分.
主要成果:
- 在所有诊断成像索赔中,NPP占3.0% (3,348,881).
- 核电站计费的成像率从每10,000名受益人中的257个增加到331个 (2016-2020年).
- 大都市地区的增长最为明显,尤其是在SOP法律较不严格的州.
结论:
- 核电站对诊断成像的解释正在增加.
- 这种增长受到大都市环境和不那么严格的SOP法规的影响.
- 需要对NPP解释成像增加的质量和成本影响进行进一步的调查.
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