Department of Radiology, Eastern Virginia Medical School, Norfolk, VA.
Department of Radiology and Imaging Sciences, University of Utah School of Medicine, Salt Lake City, UT.
Curr Probl Diagn Radiol. 2021 Jul-Aug;50(4):451-453. doi: 10.1067/j.cpradiol.2020.02.011. Epub 2020 Mar 2.
Radiologists are facing ever increasing volumes while trying to provide value-based care. There are several drivers of increasing volumes: increasing population size, aging population, increased utilization, gaps in evidence-based care, changes in the provider workforce, defensive medicine, and increasing case complexity. Higher volumes result in increased cognitive and systemic errors and contribute to radiologist fatigue and burnout. We discuss several strategies for mitigating high volumes including abbreviated MRI protocols, 24/7 radiologist coverage, reading room assistants, and other strategies to tackle radiologist burnout.
放射科医生在努力提供基于价值的医疗服务的同时，面临着工作量不断增加的挑战。工作量增加的原因有几个：人口规模的增加、人口老龄化、利用率的提高、循证医疗差距的扩大、医疗服务人员结构的变化、防御性医疗以及病例复杂性的增加。更高的工作量会导致认知和系统错误的增加，并导致放射科医生的疲劳和倦怠。我们讨论了几种减轻高工作量的策略，包括缩短 MRI 方案、24/7 放射科医生覆盖、阅读室助理以及其他应对放射科医生倦怠的策略。
