Kaye Adam H, Forman Howard P, Kapoor Roger, Sunshine Jonathan H
Yale University School of Medicine, New Haven, Connecticut 06511, USA.
J Am Coll Radiol. 2008 Jun;5(6):748-58. doi: 10.1016/j.jacr.2008.01.009.
The study's purpose was to identify the characteristics of and the motives behind radiologists' use of after-hours services.
From August of 2005 to June of 2006, 300 nonspecialty hospitals randomly selected from the 2005 American Hospital Association Directory of Hospitals were contacted by phone, e-mail, and mail, with an attempt made to speak to the chiefs of radiology. We obtained 115 responses, a 38.3% response rate, including 64 from practices that used an external after-hours service. These 64 are the subject of this study. Responses were analyzed using descriptive statistical analyses.
Practices gave convenience as the most important reason they use after-hours services, with value for recruiting ranked second and shortage of radiologists for off-hours coverage ranked third. Three-fourths of practices said they receive 5% or less of their reads from these services. Two-thirds of practices paid the service approximately as much as they collected or more. Approximately 40% of respondents used an after-hours service located internationally. Of these, 56% said that the radiologists reading internationally were either all Americans or mostly Americans and 40% did not know the proportion of foreigners. Regardless, in-state licensure of all interpreting teleradiologists is essentially universal.
Most radiology groups using after-hours services do so for convenience rather than shortage of staff to provide coverage. Most practices send a small percentage of their studies to the services. Although overseas-located services are commonly used, there is little evidence of other than American radiologists or American-trained radiologists at these services.
本研究的目的是确定放射科医生使用非工作时间服务的特点及背后的动机。
从2005年8月至2006年6月，通过电话、电子邮件和邮件联系了从2005年美国医院协会医院名录中随机选取的300家非专科医院，试图与放射科主任交谈。我们获得了115份回复，回复率为38.3%，其中64份来自使用外部非工作时间服务的机构。这64份回复是本研究的对象。使用描述性统计分析对回复进行分析。
各机构将便利性列为使用非工作时间服务的最重要原因，招聘价值排名第二，非工作时间覆盖的放射科医生短缺排名第三。四分之三的机构表示，它们从这些服务中获得的读片量占总量的5%或更少。三分之二的机构支付给该服务的费用与它们收取的费用大致相同或更多。约40%的受访者使用了位于国际的非工作时间服务。其中，56%的人表示，进行国际读片的放射科医生全部是美国人或大多数是美国人，40%的人不知道外国人的比例。无论如何，所有远程放射学解读人员在本州获得执照基本上是普遍现象。
大多数使用非工作时间服务的放射科团体这样做是为了方便，而不是因为缺乏提供覆盖的工作人员。大多数机构将一小部分检查发送到这些服务机构。虽然通常使用位于海外的服务，但几乎没有证据表明这些服务机构除了美国放射科医生或接受过美国培训的放射科医生之外还有其他人员。
