Using Sonography to Examine Adult Patients at an Academic Medical Center:  Have Usage Patterns Changed with the Expansion of Managed Care?

Liebeskind, Marc E; Arger, Peter H.; Liebeskind, Amy; Maston, Keith; Langlotz, Curtis P.

doi:10.2214/ajr.179.6.1791395

Cited by 7 publications

(6 citation statements)

References 3 publications

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“…This is in contrast to USA where the utilization of ultrasound appears to be declining relative to CT.[7–9] These trends in USA have been attributed to changes in perception of physicians concerning the clinical usefulness of these technologies. [8]…”

Section: Discussionmentioning

confidence: 99%

Assessing the Diagnostic Imaging needs for Five Selected Hospitals in Uganda

Kawooya

Pariyo²,

Malwadde

et al. 2011

Journal of Clinical Imaging Science

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Introduction:Uganda has limited health resources. It is important to measure the need for imaging in order to set policy and plan for imaging services.Objectives:The first specific objective was to develop and apply four imaging needs indices on a case study basis, in five selected Ugandan hospitals. The indices were: Imaging Load (IL), Imaging Burden (IB), Type Specific Imaging Burden (TSIB), and Disease Specific Imaging Burden (DSIB). The second objective was to explore the perceptions of the patient, referring clinician, and radiologist regarding the values, meaning, and objective of imaging in patient care.Materials and Methods:This was a cross-sectional survey employing triangulation methodology, conducted in 5 Ugandan hospitals over a period of 3 years during 2005 - 2008. The subjects were divided into four clusters: Obstetrics and gynecology (obs/gynae), surgery, internal medicine, and pediatrics. For the quantitative component of the study, data from case notes was used to calculate the indices. The qualitative component explored the non-measurable aspects of imaging needs from the clinician's, radiologist's, and patient's perspective.Results:A total of 1961 patient case notes were studied. The IB was 460 per 1000 hospital patients per year. The highest TSIB was for ultrasound at 232 per 1000 hospital patients per year, followed by 191 patients for general X-ray. The majority of the patients interviewed had special desires, expectations, and misconceptions.Conclusions:There is a high IB of 460 per thousand patient populations per year, mainly due to ultrasound. The majority of the patients have perceptions, misconceptions, beliefs, and values which influence the need for imaging. There is a need to address the medical and non-tangible imaging needs of the patient and to counteract imaging-related misconceptions and over-expectations. Public awareness of the value, capabilities, limitations, and adverse effects of various imaging modalities need to be addressed to ensure that the patients make informed imaging choices and readily avail themselves of interventions in situations when imaging is crucial, for example in suspected high-risk pregnancy.

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Section: Discussionmentioning

confidence: 99%

Assessing the Diagnostic Imaging needs for Five Selected Hospitals in Uganda

Kawooya

Pariyo²,

Malwadde

et al. 2011

Journal of Clinical Imaging Science

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“…Traditional barriers to implementation of a comprehensive emergency ultrasound program have been previously identified [23][24][25]. Training guidelines recommend a minimum number of examinations to demonstrate competency, which may be challenging for practicing physicians to complete.…”

Section: Discussionmentioning

confidence: 99%

Perceived Barriers in the Use of Point of Care Ultrasound in the WWAMI Region

2015

J Emerg Med Crit Care

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“…Use of the more advanced cross-sectional imaging techniques may partly explain the decreasing utilization of sonography [6]. The rising complexity and severity of illness among inpatients, combined with the increasing clinical utility of newer imaging techniques, may explain the progressive substitution of these newer studies for conventional studies.…”

Section: Discussionmentioning

confidence: 99%

“…Several studies about trends in imaging utilization and radiology workload have been published in the past decade [1][2][3][4][5][6][7]. All found increases in raw utilization, relative value unit (RVU) rates, or both over time.…”

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confidence: 99%

Inpatient Radiology Utilization: Trends over the Past Decade

Matin

Bates

Sussman

et al. 2006

American Journal of Roentgenology

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Newer imaging technologies (nuclear medicine, CT, and MRI) are replacing older ones in the evaluation of inpatients. Despite the significant decrease in the total number of imaging examinations per CMAA, we observed a significant increase in RVUs per CMAA during the 10-year study period. Understanding the impact of this change in practice on the quality of care would be useful in justifying the increasing use of these new technologies, and decreasing their inappropriate use should be a priority in efforts that focus on controlling imaging expenditures.

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Using Sonography to Examine Adult Patients at an Academic Medical Center: Have Usage Patterns Changed with the Expansion of Managed Care?

Cited by 7 publications

References 3 publications

Assessing the Diagnostic Imaging needs for Five Selected Hospitals in Uganda

Assessing the Diagnostic Imaging needs for Five Selected Hospitals in Uganda

Perceived Barriers in the Use of Point of Care Ultrasound in the WWAMI Region

Inpatient Radiology Utilization: Trends over the Past Decade

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