Levin David C, Rao Vijay M
Department of Radiology, Thomas Jefferson University Hospital and Jefferson Medical College, Philadelphia, Pennsylvania, USA.
J Am Coll Radiol. 2004 Nov;1(11):806-10. doi: 10.1016/j.jacr.2004.05.027.
The time seems to be ripe for reforms that will address the rapid growth of self-referral in diagnostic imaging by nonradiologist physicians. The authors present a possible course of action containing six elements that federal or state governments and/or payers could take that would assist them in their efforts to control this ubiquitous problem: (1) a legislative ban on self-referral for certain types of imaging, (2) mandatory accreditation and/or site inspections of all imaging facilities, (3) the limitation of imaging privileges among nonradiologists, (4) the required precertification of all self-referred imaging examinations, (5) the auditing of records of physicians who self-refer, and (6) certificate-of-need laws.
对于解决非放射科医生在诊断成像中自我转诊快速增长的问题，进行改革的时机似乎已经成熟。作者提出了一个可能的行动方案，包含六个要素，联邦或州政府及/或支付方可以采取这些措施来帮助他们努力控制这个普遍存在的问题：（1）对某些类型的成像实施自我转诊的立法禁令；（2）对所有成像设施进行强制认证和/或现场检查；（3）限制非放射科医生的成像特权；（4）对所有自我转诊的成像检查进行必需的预先认证；（5）对自我转诊医生的记录进行审计；（6）需求证书法。
