Section of Cardiology, University of Chicago Medicine, 5841 S. Maryland Ave, DCAM Rm 5726, Chicago, IL, 60637, USA.
Curr Cardiol Rep. 2020 Jun 19;22(8):69. doi: 10.1007/s11886-020-01310-4.
The purpose of this review is to highlight the past impact and current role of the Appropriate Use Criteria (AUC) for echocardiography in value-based healthcare, and to address future implications in light of the recent mandate from the Centers for Medicare and Medicaid Services to incorporate AUC for other imaging modalities.
Several studies have proven that the AUC effectively stratify the clinical practice of echocardiography as they predict important echo abnormalities and impact optimal patient care. Recent investigations have tested new technologies and demonstrated the feasibility and scalability of the application of the AUC for echocardiography at the point of care. The AUC for echocardiography has accomplished their core mission, as utilization has moderated over the last decade and mandatory implementation at the point of care for echocardiography remains rare. While a new mandate signals another wave of focus on appropriate utilization, echocardiography stands ready.
本文旨在强调超声心动图适宜性标准（AUC）在基于价值的医疗保健中的过去影响和当前作用，并根据医疗保险和医疗补助服务中心最近的授权，探讨其在其他成像方式中的未来影响。
多项研究证明，AUC 可有效对超声心动图的临床实践进行分层，因为它们可以预测重要的超声异常，并影响最佳患者护理。最近的研究测试了新技术，并证明了在护理点应用 AUC 进行超声心动图的可行性和可扩展性。超声心动图的 AUC 已经完成了其核心任务，因为在过去十年中，其利用率已经得到了控制，并且在护理点强制执行仍然很少见。虽然新的授权标志着对适当利用的又一波关注，但超声心动图已经做好了准备。
