Levin David C
Department of Radiology, Thomas Jefferson University Hospital and Jefferson Medical College, Philadelphia, PA 19107, USA.
J Am Coll Radiol. 2006 Feb;3(2):90-5. doi: 10.1016/j.jacr.2005.07.016.
Self-referral in diagnostic imaging has adverse consequences for our health care system. It inevitably leads to overutilization. If untrained physicians try to interpret images, they will make avoidable errors. Imaging facilities operated by untrained physicians are more likely to produce poor-quality examinations. These statements are backed up by abundant evidence in the medical literature. Major payers such as Medicare and the Blue Cross Blue Shield Association are aware of the problem. There are a number of possible remedies, and it remains to be seen whether they and other payers will adopt them.
诊断成像中的自我转诊对我们的医疗保健系统有不良影响。它不可避免地导致过度使用。如果未经培训的医生试图解读影像，他们会犯下可避免的错误。由未经培训的医生运营的成像设施更有可能产生质量不佳的检查结果。这些说法在医学文献中有大量证据支持。医疗保险和蓝十字蓝盾协会等主要付款方已经意识到了这个问题。有一些可能的补救措施，它们以及其他付款方是否会采用这些措施还有待观察。
