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澳大利亚与诊断成像相关的卫生政策:是否物极必反?

Australian health policies related to diagnostic imaging: too much of a good thing?

作者信息

Docking Sean, Haddock Rebecca, Buchbinder Rachelle

机构信息

Department of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, Monash University, Malvern, Vic., Australia; and Monash-Cabrini Department of Musculoskeletal Health and Clinical Epidemiology, Cabrini Health, Malvern, Vic., Australia.

Deeble Institute for Health Policy Research, Australian Healthcare and Hospitals Association, Canberra, ACT, Australia; and Institute for Health Transformation, Deakin University, Burwood, Vic., Australia.

出版信息

Aust Health Rev. 2022 Oct;46(5):635-638. doi: 10.1071/AH22064.

Abstract

Diagnostic imaging is increasingly being used in Australia to aid clinician diagnostic and therapeutic decision-making. There is concern that this increased use represents an overconsumption of inappropriate health services, which wastes finite resources and may cause direct or indirect harm to the patient. Australian health policies have primarily focused on increasing patient access to diagnostic imaging. While these policies address inequitable access and may lead to timely diagnosis and improved health outcomes, these benefits have not been weighed against the unintended harms. This perspective article will explore the unintended consequences of increasing access to diagnostic imaging as well as provide potential solutions to improve the effectiveness of policies in this area.

摘要

在澳大利亚,诊断成像越来越多地被用于协助临床医生进行诊断和治疗决策。有人担心,这种使用的增加意味着对不适当医疗服务的过度消费,这不仅浪费了有限的资源,还可能对患者造成直接或间接的伤害。澳大利亚的卫生政策主要侧重于增加患者获得诊断成像的机会。虽然这些政策解决了不公平的获取问题,并可能带来及时诊断和改善健康结果,但这些好处并未与意外危害相权衡。这篇观点文章将探讨增加诊断成像可及性的意外后果,并提供潜在的解决方案,以提高该领域政策的有效性。

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