减少低价值成像 - - 利益相关者对改善成像服务的干预措施的评估
Elin Kjelle1, Ingrid Øfsti Brandsæter2, Eivind Richter Andersen1
1Department of Health Sciences Gjøvik, Norwegian University of Science and Technology (NTNU), 2802, Gjøvik, Norway.
BMC health services research
|October 4, 2024
概括
在挪威,一项干预减少了低值磁共振成像 (MRI) 的使用,该干预使用了对不适当转诊的回信. 关键的成功因素包括足够的信息,定和支持,导致发送的信件迅速减少.
科学领域:
- 医疗保健管理的管理
- 医学成像分析 医学成像分析
- 医疗保健服务研究 医疗服务研究
背景情况:
- 在2022年10月,挪威的私人成像中心实施了一项干预措施,以减少低价值的磁共振成像 (MRI) 程序.
- 这项干预使用了回信系统,用于下背部,大脑和膝盖MRI的低最佳转诊.
研究的目的:
- 评估利益相关者的经验和对干预的看法.
- 量化研究期间发送的回复信件数量.
- 确定实施干预和利用回函的成功因素.
主要方法:
- 返回信的数据来自挪威最大的两家私人成像提供商.
- 与两个医疗主任进行了半结构化采访.
- 与来自各个私人成像中心的9名经理进行了焦点小组采访.
主要成果:
- 总共有1,182封回复信被发送给下背部,大脑和膝盖的MRI.
- 最多的回信发生在干预开始时.
- 分析显示了五个关键类别:一般经验,定,组织,回信程序和结果. 确定了关键的成功因素是足够的信息,定和支持.
结论:
- 减少低值MRI的干预措施在利益关方普遍受到好评.
- 在初始期后,回复信件的数量迅速下降.
- 有效的实施取决于关键的成功因素,如明确的沟通,利益相关方的支持和简化程序.
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