Sunshine J H, Bansal S
Department of Research, American College of Radiology, Reston, VA 22091.
Radiology. 1992 May;183(2):535-40. doi: 10.1148/radiology.183.2.1561364.
To learn the main operational, professional, and business characteristics of U.S. radiology group practices, researchers at the American College of Radiology surveyed these groups. Major findings included the following: Approximately 30% of groups provide only diagnostic radiologic services, a similar percentage provides only radiation therapy for oncologic patients, and the remainder provides both types of services. Forty-one percent of groups practice only in hospitals, 11% practice only in an office, and 48% practice in both settings. Diagnostic-only practices average 10,000-12,000 procedures per full-time equivalent radiologist per year. Groups typically require new members to be part of the group for almost 3 years before they become full partners. Formal call schedules are nearly universal among radiology groups. Groups are becoming increasingly involved with health maintenance organizations and other "alternative delivery systems," but fee-for-service remains by far the dominant source of groups' revenue. Most studied characteristics of groups are changing relatively slowly, and trends are generally toward increasing formalization of arrangements.
为了解美国放射学集团诊所的主要运营、专业和商业特征，美国放射学会的研究人员对这些集团进行了调查。主要调查结果如下：约30%的集团仅提供诊断放射学服务，类似比例的集团仅为肿瘤患者提供放射治疗，其余集团则提供这两种服务。41%的集团仅在医院开展业务，11%仅在办公室开展业务，48%在两种场所都开展业务。仅提供诊断服务的诊所，每位全职等效放射科医生每年平均进行10000 - 12000例检查。集团通常要求新成员在成为正式合伙人之前，在集团工作近3年。正式的值班安排在放射学集团中几乎普遍存在。集团越来越多地参与健康维护组织和其他“替代交付系统”，但按服务收费仍然是集团收入的主要来源。大多数被研究的集团特征变化相对缓慢，而且总体趋势是安排越来越正式。
