Gibbons R
Department of Cardiology, Mayo Clinic, Rochester, MN 55905, USA.
J Nucl Cardiol. 1997 Mar-Apr;4(2 Pt 2):S179-83. doi: 10.1016/s1071-3581(97)90099-4.
Managed care has drastically changed the environment in which we practice hospital-based nuclear cardiology. As of 1995, traditional fee for service comprises only 8% of all reimbursement in the United States. Nuclear cardiology is now a cost center, not a revenue center, for the hospital. In Minnesota, many physicians and hospitals work together toward common goals in various "integrated health service networks." There are several ways in which nuclear cardiology can help a health care network reduce costs. Results of myocardial perfusion, for example, can be used to help reduce unnecessary coronary angiography and revascularization procedures. On the other hand, nuclear cardiology is generally not cost-effective in patients with a low likelihood of benefitting from the test and should usually be avoided in such patients.
管理式医疗已经极大地改变了我们从事医院核心脏病学的环境。截至1995年，传统的按服务收费在美国所有报销费用中仅占8%。核心脏病学如今对于医院来说是一个成本中心，而非收入中心。在明尼苏达州，许多医生和医院在各种“综合健康服务网络”中共同朝着共同目标努力。核心脏病学有几种方式可以帮助医疗保健网络降低成本。例如，心肌灌注结果可用于帮助减少不必要的冠状动脉造影和血运重建手术。另一方面，对于从该检查中获益可能性较低的患者，核心脏病学通常不具有成本效益，通常应避免对这类患者进行该检查。
