Department of Radiology, University Hospitals Case Medical Center, Case Western Reserve University, Cleveland, OH.
Acad Radiol. 2013 Oct;20(10):1213-7. doi: 10.1016/j.acra.2013.05.014.
The Patient Protection and Affordable Care Act (ACA) generated significant media attention since its inception. When the law was approved in 2010, the U.S. health care system began facing multiple changes to adapt and to incorporate measures to meet the new requirements. These mandatory changes will be challenging for academic radiology departments (ARDs) since they will need to promote a shift from a volume-focused to a value-focused practice. This will affect all components of the mission of ARDs, including clinical practice, education, and research. A unique key element to success in this transition is to focus on both quality and safety, thus improving the value of radiology in the post-ACA era. Given the changes ARDs will face during the implementation of ACA, suggestions are provided on how to adapt ARDs to this new environment.
《患者保护与平价医疗法案》（ACA）自诞生以来就受到了媒体的广泛关注。该法案于 2010 年获得通过，自此美国的医疗体系开始面临多项改革以适应并融入新的要求。这些强制性的变化对学术放射科（ARD）来说是一项挑战，因为他们需要从以数量为重点的实践转向以价值为重点的实践。这将影响 ARD 使命的所有组成部分，包括临床实践、教育和研究。在这一转变中取得成功的一个关键因素是既要关注质量又要关注安全，从而提高放射科在 ACA 后时代的价值。鉴于 ARD 在实施 ACA 过程中所面临的变化，本文就如何使 ARD 适应这一新环境提出了一些建议。
