Larkin E P
Br J Psychiatry. 1985 Jan;146:62-5. doi: 10.1192/bjp.146.1.62.
All X-rays requested by psychiatrists in-training during 1982 and performed by the Department of Radiology of a large mental hospital were analysed. Forty-five per cent of all requests were marked routine, and the majority of these were for chest X-rays; only 4% of these revealed significant abnormality and no patient under the age of 55 had a significant abnormality on routine chest X-ray. All routine skull X-rays were normal. One-third of the long-stay hospital population accounted for one-quarter of the overall workload of the department. It is recommended that: requests for routine skull X-rays be abandoned, and that routine chest X-rays for patients below the age of 55 be restricted to high-risk groups such as immigrants, those on steroids, etc. The financial implications of such a policy are discussed.
对1982年期间接受培训的精神科医生所要求并由一家大型精神病院放射科进行的所有X光检查进行了分析。所有检查申请中45%被标记为常规检查，其中大部分是胸部X光检查；这些检查中只有4%显示有明显异常，且55岁以下的患者在常规胸部X光检查中均无明显异常。所有常规颅骨X光检查均正常。长期住院患者中有三分之一占该科室总工作量的四分之一。建议：放弃常规颅骨X光检查申请，55岁以下患者的常规胸部X光检查应限于高危人群，如移民、使用类固醇药物者等。讨论了这一政策的财务影响。
