Fonseca Ricardo, Marwick Thomas H
Menzies Research Institute Tasmania, 17 Liverpool St, Hobart, Tasmania 7000, Australia.
Cardiovasc Ultrasound. 2014 Jun 24;12:22. doi: 10.1186/1476-7120-12-22.
The increasing cost of healthcare is a widespread international problem to which the cost of imaging has been an important contributor. Some imaging tests are ordered inappropriately and contribute to wasted use of resources. Appropriate use criteria have been developed in the USA in order to guide test selection, but there are a number of problems, including the evidence base for these criteria and the steps that can be taken to change physician practice. A restrictive approach to test ordering is difficult to fit to the nuances of clinical presentation and may compromise patient care. We propose an alternative approach to physician guidance based on the most common markers of inappropriate testing.
医疗保健成本的不断上升是一个普遍存在的国际性问题，而影像检查成本是其中的一个重要因素。一些影像检查的开具并不恰当，造成了资源的浪费。美国已经制定了合理使用标准以指导检查选择，但存在一些问题，包括这些标准的证据基础以及为改变医生的行为可采取的措施。对检查开具采取严格的方法难以适应临床表现的细微差别，可能会损害患者护理。我们基于不恰当检查的最常见指标，提出一种针对医生指导的替代方法。
