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放射学领域的地盘之争:特权授予与机构认证计划——它们为商业健康保险计划带来的成效。

Turf wars in radiology: privileging and site accreditation programs--what they have accomplished for commercial health plans.

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, PA 19107, USA.

出版信息

J Am Coll Radiol. 2006 Jul;3(7):534-6. doi: 10.1016/j.jacr.2006.01.018.

Abstract

In recent years, some commercial health plans have instituted privileging and site accreditation programs for providers of diagnostic imaging. This article describes how these programs work and points out that they can help restrict self-referral and the overutilization that accompanies it. Another advantage is that they can help eliminate low-quality providers. Radiologists should encourage health plans in their area to develop and implement these measures.

摘要

近年来,一些商业健康保险计划已为诊断成像服务提供商设立了特权授予和机构认证计划。本文介绍了这些计划的运作方式,并指出它们有助于限制自我转诊及其带来的过度使用。另一个优势是它们有助于淘汰低质量的服务提供商。放射科医生应鼓励所在地区的健康保险计划制定并实施这些措施。

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