2013年至2020年期间,医疗保险受益人中磁共振和计算机断层扫描血管造影的使用趋势
James W Goldfarb1, Mahmud Mossa-Basha2, Kim-Lien Nguyen3
1Division of Cardiovascular Imaging, St. Francis Hospital and Heart Center, Roslyn, NY, USA.
磁共振血管造影 (MRA) 的使用和医生人数正在下降,而计算机断层扫描血管造影 (CTA) 的使用正在增加. 两者都在COVID-19期间下降,MRA的下降速度是CTA的五倍.
科学领域:
- 放射学 放射学是一门学科.
- 医疗成像医学成像
- 医疗保健服务研究 医疗服务研究
背景情况:
- 磁共振血管学 (MRA) 和计算机断层扫描血管学 (CTA) 是重要的非侵入性成像技术.
- 了解它们的利用趋势对于资源配置和医疗保健规划至关重要.
研究的目的:
- 分析美国MRA和CTA利用和实践模式的相对和绝对趋势.
- 为了比较这些趋势在COVID-19大流行初期和初期.
主要方法:
- 使用的医疗保险B部分医生支付数据库从2013年至2020年.
- 识别了MRA和CTA考试,并使用独特的医疗保健通用程序编码系统代码解释医生.
- 分析了检查量,医生人数,人口统计,对比度使用和支付的年度趋势.
主要成果:
- 在2013-2019年期间,MRA考试下降了17.9%,而CTA考试升了90.3%.
- 在医院和门诊环境中,解释MRA的医生数量有所下降,而解释CTA的医生数量显著增加.
- 在COVID-19疫情的第一年,MRA的利用率下降了25.0%,而CTA下降了5.5%.
结论:
- MRA的利用率和翻译医生的数量正在下降,与CTA的上升趋势形成鲜明对比.
- COVID-19大流行不成比例地影响了MRA的利用率,导致CTA的下降幅度比CTA的下降幅度更大.
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