放射学领域的地盘之争：过度使用的其他原因及应对之策

Turf wars in radiology: other causes of overutilization and what can be done about it.

作者信息

Levin David C, Rao Vijay M

机构信息

Department of Radiology, Thomas Jefferson University Hospital and Jefferson Medical College, Philadelphia, Pennsylvania 19107, USA.

出版信息

J Am Coll Radiol. 2004 May;1(5):317-21. doi: 10.1016/j.jacr.2003.12.024.

DOI:10.1016/j.jacr.2003.12.024

PMID:17411595

Abstract

The overutilization of noninvasive diagnostic imaging (NDI) is a complex problem with many other aspects aside from self-referral. This article discusses (1) other causes of overutilization, (2) the rationales used by nonradiologist physicians to justify self-referring their patients for NDI, (3) the extent of self-referral by radiologists (called "autoreferral" by some), and (4) steps that could be taken to curb the overutilization of NDI in the United States. It is important for radiologists to be familiar with these issues and to support efforts to control overutilization.

摘要

除了自我转诊之外，非侵入性诊断成像（NDI）的过度使用是一个复杂的问题，还有许多其他方面。本文讨论了：（1）过度使用的其他原因；（2）非放射科医生为其患者进行NDI自我转诊的理由；（3）放射科医生自我转诊的程度（一些人称之为“自动转诊”）；以及（4）在美国可以采取的遏制NDI过度使用的措施。放射科医生熟悉这些问题并支持控制过度使用的努力非常重要。