Triad Radiology Associates, Winston Salem, NC..
Hackensack Radiology Group, River Edge, NJ.
Curr Probl Diagn Radiol. 2020 Sep-Oct;49(5):337-339. doi: 10.1067/j.cpradiol.2020.02.001. Epub 2020 Feb 28.
Clinical Decision Support (CDS) was designed as an interactive, electronic tool for use by clinicians that communicates Appropriate Use Criteria (AUC) information to the user and assists them in making the most appropriate treatment decision for a patient's specific clinical condition. Policymakers recognized AUC as a potential solution to control inappropriate utilization of imaging and made CDS mandatory in the Protecting Access to Medicare Act of 2014. In the years since Protecting Access to Medicare Act, data on the potential impact of CDS has been mixed and much of the physician community has expressed concern about the logistics of the program. This article aims to review the legislation behind the AUC program, the events that have transpired since, and some of the challenges and opportunities facing radiologists in the current environment.
临床决策支持 (CDS) 被设计为一种交互式的电子工具，供临床医生使用，它向用户传达适宜性使用标准 (AUC) 信息，并帮助他们根据患者特定的临床情况做出最合适的治疗决策。政策制定者认识到 AUC 是控制影像学不合理使用的潜在解决方案，并在 2014 年《保护医疗保险获取法案》中强制规定使用 CDS。自《保护医疗保险获取法案》通过以来，有关 CDS 潜在影响的数据好坏参半，而且大部分医生群体对该计划的后勤工作表示担忧。本文旨在回顾 AUC 计划背后的立法、自那以来发生的事件，以及放射科医生在当前环境下面临的一些挑战和机遇。
