对抗过度医疗：放射科收益管理者与医嘱录入决策支持。

Combating overutilization: radiology benefits managers versus order entry decision support.

机构信息

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

出版信息

Neuroimaging Clin N Am. 2012 Aug;22(3):497-509. doi: 10.1016/j.nic.2012.05.013.

DOI:10.1016/j.nic.2012.05.013

PMID:22902117

Abstract

Radiology benefits managers (RBMs) and computerized decision support offer different advantages and disadvantages in the efforts to provide appropriate use of radiology resources. RBMs are effective in their hard-stop ability to reject inappropriate studies, incur a significant cost, and interpose an intermediary between patient and physician. Decision support is a more friendly educational product, but has not been implemented for all clinical indications and its efficacy is still being studied.

摘要

放射科收益管理者（RBM）和计算机化决策支持在提供适当的放射学资源使用方面具有不同的优缺点。RBM 在拒绝不适当的研究方面具有很强的硬停止能力，同时会产生巨大的成本，并在患者和医生之间设置一个中介。决策支持是一种更友好的教育产品，但尚未针对所有临床适应症实施，其疗效仍在研究中。