Geographical variation in radiological services: a nationwide survey

Lysdahl, Kristin Bakke; Børretzen, Ingelin

doi:10.1186/1472-6963-7-21

Cited by 44 publications

(54 citation statements)

References 21 publications

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“…Similar results could be found in the literature. 6 Variability across Health Authorities and their district areas could depend on the over (under) use of specific examinations. Indeed, the one-way ANOVA analysis highlights that there is more variability between procedures (around 90% for MRI and 71% for CT) than within them (see table 2).…”

Section: Resultsmentioning

confidence: 99%

“…6 Bhargavan and Sunshine 11 highlighted great variability in the provision of DI services across areas and suggested that the use of appropriateness criteria, such as those defined by the American College of Radiology (ACR), may minimise these differences. Moreover, they explored this variability to highlight the state-level variables that affect it most, and they observed that the greater the number of Medicare providers, the greater the DI investigation rate per 1000 inhabitants.…”

Section: Tuscan Context and The Research Questionsmentioning

confidence: 99%

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Managing waiting times in diagnostic medical imaging

Nuti

Vainieri

2012

BMJ Open

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ObjectiveThis paper aims to analyse the variation in the delivery of diagnostic imaging services in order to suggest possible solutions for the reduction of waiting times, increase the quality of services and reduce financial costs.DesignThis study provides a logic model to manage waiting times in a regional context. Waiting times measured per day were compared on the basis of the variability in the use rates of CT and MRI examinations in Tuscany for the population, as well as on the basis of the capacity offered with respect to the number of radiologists available. The analysis was performed at the local health authority level to support the decision-making process of local managers.SettingDiagnostic imaging services, in particular the CT and MRI examinations. The study involved all the 12 local health authorities that provide services for 3.7 million inhabitants of the Italian Tuscany Region.Primary and secondary outcome measuresParticipants: the study uses regional administrative data on outpatients and survey data on inpatient diagnostic examinations in order to measure productivity.Primary and secondary outcome measuresThe study uses the volumes per 1000 inhabitants, the days of waiting times and the number of examinations per radiologist. Variability was measured using the traditional SD measures.ResultsA significant variation in areas considered homogeneous in terms of age, gender or mortality may indicate that the use of radiological services is not optimal and underuse or overuse occurs and that there is room for improvement in the service organisation.ConclusionsConsidering that there is a high level of variability among district use rates and waiting times, this study provides managers with a specific tool to find the cause of the problem, identify a possible solution, assess the financial impact and initiate the eventual reduction of waste.

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Section: Resultsmentioning

confidence: 99%

Section: Tuscan Context and The Research Questionsmentioning

confidence: 99%

Managing waiting times in diagnostic medical imaging

Nuti

Vainieri

2012

BMJ Open

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“…Another, not so immediate reason, was the unevenness between the distribution of imaging equipment that, in spite of availability and low operational costs, produces exams that require highly paid and trained radiologists to perform the analysis of the exam outcomes [7][8][9][10][11].…”

Section: Introductionmentioning

confidence: 98%

Brokerage mechanism proposal for teleradiology studies distribution

Polónia¹,

Silva²,

Costa³

et al. 2008

SPIE Proceedings

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The asymmetric distribution of PACS equipment and service providers across countries leads typically to the need to hire third party service professionals outside the institutions where the exams were made. In this paper we present a brokerage mechanism that puts customers and remote providers together in a seamless way.The proposed solution, asserted with a case study for the Portuguese national health system, addresses the problems that now impair the optimal provision of those services, enabling a more agile relationship between buyers and sellers, optimizing administrative work and complying with clinical and legal requirements under discussion in the European Union for the free movement of patients and professional health workers.In this document, the detailed process and technical description of the broker functioning is made, and the main benefits for the participants are also evaluated from a technical and economical point of view.Finally, in the discussion chapter, an assessment of the creation of a spot market for imaging studies is made and the integration with other similar markets is discussed.

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“…Computed tomography (CT), X-ray imaging, magnetic resonance imaging (MRI ), fiber scope and ultra-sonic imaging are such techniques [1]. The purpose of these imaging methods is to visualize non-visible organ or tissue.…”

Section: Introductionmentioning

confidence: 98%

Development of Health Monitoring System based on Three-dimensional Imaging using Bio-signals and Motion Data

Matsukawa¹,

Umetani²,

Yokoyama³

2007

2007 29th Annual International Conference of the IEEE Engineering in Medicine and Biology Society

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The purpose of this study is to develop a health monitoring system. This system represents human health condition and human motion simultaneously. This system obtains motion data by optical motion capture system. Electromyogram and electrocardiogram are used for health condition estimation. These are measured synchronously with motion data. Two experiments were performed to evaluate our system. In these experiments, muscle activity, motion of the heart and the autonomic nervous balance were represented as health conditions. This system contributes intuitive recognitions of health condition and high accurate estimation of health conditions.

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Geographical variation in radiological services: a nationwide survey

Cited by 44 publications

References 21 publications

Managing waiting times in diagnostic medical imaging

Managing waiting times in diagnostic medical imaging

Brokerage mechanism proposal for teleradiology studies distribution

Development of Health Monitoring System based on Three-dimensional Imaging using Bio-signals and Motion Data

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