Hadian Marziye, Jabbari Alireza, Mazaheri Elaheh, Norouzi Marziyeh
Department of Health Services Management, Student Research Committee, Health Management and Economics Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.
Department of Health Services Management, Health Management and Economics Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.
J Educ Health Promot. 2021 Jan 28;10:10. doi: 10.4103/jehp.jehp_225_20. eCollection 2021.
Inappropriate and irrational use of numerous advanced diagnostic imaging technologies has recently been highlighted in many countries and has gathered the attention of policymakers. This matter has not only increased health costs in countries but also resulted in adverse health results. Various factors are involved in the inappropriate or unnecessary use of advanced medical imaging techniques including patient-related, physician-related, technological, and ultimately radiologist-related factors. This calls for the provision of new guidelines by policymakers to encourage all service providers to make appropriate use of such techniques. One of the main approaches in this regard is the application of clinical guidelines and decision support systems. The present study was a systematized review that conducted in January 2019, and the articles related to palliative care requirements on databases of Web of Science, PubMed, Scopus, ScienceDirect, Ovid, ProQuest, Wiley, and Google Scholar from January 1, 2009, to January 20, 2019, were searched. Strategy for searching and selecting the articles was Preferred Reporting Items for Systematic Reviews and Meta-Analyses Guidelines. Overview of the studies shows that various reasons for the overuse of diagnostic imaging technologies and effects of applying clinical guidelines on reducing diagnostic costs of treatment are investigated in this article with respect to various aspects and viewpoints. Clinical guidelines can be significantly effective in evaluating suitability and quality of referrals for diagnostic imaging, if only adapted properly.
近期，许多国家都强调了大量先进诊断成像技术存在使用不当和不合理的问题，这引起了政策制定者的关注。此事不仅增加了各国的医疗成本，还导致了不良的健康后果。先进医学成像技术使用不当或不必要涉及多种因素，包括患者相关、医生相关、技术以及最终与放射科医生相关的因素。这就要求政策制定者提供新的指导方针，以鼓励所有服务提供者合理使用此类技术。这方面的主要方法之一是应用临床指南和决策支持系统。本研究是一项于2019年1月进行的系统评价，检索了2009年1月1日至2019年1月20日期间Web of Science、PubMed、Scopus、ScienceDirect、Ovid、ProQuest、Wiley和Google Scholar数据库中与姑息治疗要求相关的文章。检索和选择文章的策略是系统评价和Meta分析的首选报告项目指南。研究概述表明，本文从各个方面和观点探讨了诊断成像技术过度使用的各种原因以及应用临床指南对降低治疗诊断成本的影响。如果临床指南得到适当调整，那么在评估诊断成像转诊的适用性和质量方面可能会非常有效。
