Department of Cardiology, Beaumont Health System, Royal Oak, Michigan.
Cardiology Division, Department of Medicine, Massachusetts General Hospital, Boston, Massachusetts.
JACC Cardiovasc Imaging. 2017 Mar;10(3):368-378. doi: 10.1016/j.jcmg.2016.12.004.
Cardiovascular imaging plays a central role in the diagnosis and treatment of cardiovascular disease. Recently, increased emphasis has been placed on quality in cardiovascular imaging, and it is becoming a central priority for various stakeholders, including patients, physicians, and payers. The changing health care landscape and associated challenges imposed on cardiac imagers, including reductions in reimbursement and growing need for pre-authorization, have also helped bring quality metrics to the forefront. Continuous quality improvement initiatives provide the framework for the team of physicians, technical staff members, administrators, and other health care professionals to deliver high-quality care. Efforts to improve quality in cardiac imaging have started to form the foundation for numerous research studies in this arena, and although few in number, randomized control trials have begun to emerge. This review highlights quality improvement studies focusing on appropriate use education, reporting, and radiation dose reduction in cardiovascular imaging.
心血管成像在心血管疾病的诊断和治疗中起着核心作用。最近，心血管成像的质量受到了越来越多的重视，它已成为包括患者、医生和支付方在内的各利益相关方的核心优先事项。不断变化的医疗保健环境以及心脏成像师面临的相关挑战，包括报销减少和日益增长的预授权需求，也有助于将质量指标提上日程。持续质量改进计划为医生、技术人员、管理人员和其他医疗保健专业人员团队提供了提供高质量护理的框架。努力提高心脏成像的质量已经开始为该领域的众多研究奠定基础，尽管数量有限，但随机对照试验已经开始出现。这篇综述重点介绍了质量改进研究，这些研究侧重于心血管成像中适当使用教育、报告和减少辐射剂量。
