低价值成像:概念分析和定义
1Institute for the Health Sciences at the Norwegian University of Science and Technology (NTNU) at Gjøvik, Norway; Centre of Medical Ethics at the University of Oslo, Norway.
定义低值成像对于改善医疗保健至关重要. 低价值的成像提供了更多的伤害而不是益处,未能减少患者的疼痛或痛苦,并可能不会改变临床管理或具有成本效益.
科学领域:
- 医疗成像医学成像
- 医疗保健服务研究 医疗服务研究
- 临床决策 临床决策
背景情况:
- 低价值成像的概念缺乏普遍同意的定义.
- 清晰的定义对于有针对性的研究和提高成像服务质量,安全性,有效性,效率和可持续性至关重要.
研究的目的:
- 为了建立一个准确和适用的定义低价值成像.
主要方法:
- 对现有的低价值护理定义和低价值成像技术的实际措施进行全面审查.
- 标准概念分析标准的应用 (精确性,非循环性,适用性,合理性,区分性).
- 用实际例子和任务验证拟议的定义.
主要成果:
- 低值成像被定义为与替代方案相比,不能缓解患者疼痛,功能障碍或痛苦的成像.
- 这种成像可能会产生更多的伤害而不是益处,无法改变临床管理,或缺乏成本效益.
- 拟议的定义符合一般标准,适用于现实世界的场景,并区分有价值的与无价值的成像.
结论:
- 已经建立了一个清晰一致的低价值成像定义.
- 这一定义对于改善医学成像的质量,安全性,有效性,效率和可持续性至关重要.
- 该定义有效地区分了有价值和无价值的成像程序.
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