心脏核成像工作人员:医疗保险B部分 (2013-2022) 的趋势
Maria Alwan1, Ahmad El Yaman1, Ahmed Sayed1
1Houston Methodist DeBakey Heart & Vascular Center, Houston, TX, USA.
概括
心脏核成像显示从SPECT转向PET,但劳动力短缺和地理差异仍然存在. 解决这些问题对于公平的患者获得先进的心脏成像服务至关重要.
科学领域:
- 心脏病学 心脏病学
- 核医学是一种核医学.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 心脏正子发射断层扫描 (PET) 和单光子发射计算机断层扫描 (SPECT) 对于诊断冠状动脉疾病至关重要.
- 劳动力短缺和培训需求在PET可用性方面造成了地理差异,限制了患者的访问.
- 评估美国心脏核成像工作人员的趋势对于了解这些访问问题至关重要.
研究的目的:
- 分析2013年至2022年美国心脏核成像工作人员的趋势.
- 检查使用SPECT和PET程序的变化.
- 在核心脏病成像专家中识别性别,专业和地理分布模式.
主要方法:
- 对医疗保险B部分数据 (2013-2022) 分析,医生收取的心脏核成像服务.
- 评估读者数量,性别,专业和地理分布的趋势.
- 评估读者工作量,包括每年解释的研究数量.
主要成果:
- 在2013年至2022年期间,SPECT手术的比例从95.8%下降到86.3%,而PET手术的比例从4.2%增加到13.7%.
- 仅使用SPECT阅读器的人数下降,仅使用PET阅读器的人数和解释两种模式的人数增加.
- 观察到显著的性别和地理差异,大多数专家集中在特定的国家,很少在其他国家.
结论:
- 心脏核成像正在转向PET,读者工作人员的相应变化.
- 核心脏病专家之间持续存在的性别和地理差异阻碍了对成像专业知识的公平获取.
- 解决劳动力分配和接入差距对于确保所有患者及时接受专家心脏成像评估至关重要.
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