神经科专业医生在私人诊所中使用神经放射学的情况：在进行研究的扫描仪是归属于谁或租给了谁？

Utilization rates of neuroradiology across neuroscience specialties in the private office setting: who owns or leases the scanners on which studies are performed?

机构信息

The Russell H. Morgan Department of Radiology and Radiological Sciences, The Johns Hopkins Medical Institutions, Baltimore, Maryland 21287, USA.

出版信息

AJNR Am J Neuroradiol. 2012 Jan;33(1):43-8. doi: 10.3174/ajnr.A2738. Epub 2011 Oct 27.

DOI:10.3174/ajnr.A2738

PMID:22033720

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7966170/

Abstract

BACKGROUND AND PURPOSE

Recent literature shows an increasing portion of imaging studies being conducted and interpreted by nonradiologists, especially across the modalities with the highest RVUs. We examined the trends in the Medicare technical charges for private office neuroradiology studies submitted by subspecialists to identify utilization trends among MR and CT scanner owners or lessees over the last decade.

MATERIALS AND METHODS

The number of neuroradiology studies performed on MR and CT machines owned or leased in private offices was determined from the CMS PSPSMF for 1998-2008. Studies billed through technical and global charges were aggregated. Utilization rates and utilization rate CAGRs were computed by specialty and by imaging study.

RESULTS

Between 1998 and 2008, MR studies grew by a factor of 2.5 and CT studies grew by 2.1. In 2008, radiologists charged the technical/global fee in 1,386,669 (56.6%), neurologists in 82,360 (3.4%), neurosurgeons in 29,218 (1.2%), multi/IDTF in 617,933 (25.2%), and other specialists in 334,843 (13.7%) of neuroradiology cases. Changes from the 1998 base rate to the 2008 rate per 1000 Medicare beneficiaries were 24.1 to 39.7 for radiologists, 1.03 to 2.4 for neurologists, 0.15 to 0.84 for neurosurgeons, 2.2 to 17.7 for multi/IDTF, and 1.3 to 9.6 for other specialists. All specialties, except for multi/IDTF, showed greater MR utilization increases than CT. Neurology (CAGR of 10.6%), neurosurgery (22.1%), multi/IDTF (23.2%), and other specialists' (24.6%) MR growth outpaced that of radiology's (5.3%).

CONCLUSIONS

All nonradiologists showed greater overall utilization growth in private office neuroradiology than did radiology. Also, nonradiologists generally showed greater utilization increases in MR than CT. Radiologists' private office neuroradiology technical fee share shrank from 83.6% to 56.6% between 1998 and 2008.

摘要

背景与目的

近期文献显示，非放射科医师进行和解读的影像学研究比例不断增加，尤其是在 RVU 最高的影像模式中。我们通过对私人执业神经放射学研究的 Medicare 技术费用进行分析，以确定过去十年中磁共振和 CT 扫描仪所有者或承租人的利用趋势，从而确定了神经放射学研究的趋势。

材料与方法

1998 年至 2008 年，通过 CMS PSPSMF 确定在私人执业中拥有或租赁的磁共振和 CT 机器上进行的神经放射学研究数量。通过技术和全球费用计费的研究进行汇总。按专业和影像研究计算使用率和使用率年复合增长率。

结果

1998 年至 2008 年间，磁共振研究增长了 2.5 倍，CT 研究增长了 2.1 倍。2008 年，放射科医生收取技术/全球费用的比例为 1386669 例（56.6%），神经科医生为 82360 例（3.4%），神经外科医生为 29218 例（1.2%），多学科/IDTF 为 617933 例（25.2%），其他专科医生为 334843 例（13.7%）。与 1998 年的基准率相比，每 1000 名 Medicare 受益人的增长率为 24.1%至 39.7%，放射科医生为 1.03%至 2.4%，神经科医生为 0.15%至 0.84%，神经外科医生为 0.15%至 0.84%，多学科/IDTF 为 2.2%至 17.7%，其他专科医生为 1.3%至 9.6%。除多学科/IDTF 外，所有专科医生的磁共振利用率增长均高于 CT。神经内科（10.6%）、神经外科（22.1%）、多学科/IDTF（23.2%）和其他专科医生（24.6%）的磁共振增长率超过放射科（5.3%）。