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  1. Effect of mandatory radiology consultation on inpatient imaging use : A randomized controlled trial. Editorial.

    Article - En anglais

    Objective

    - To determine if a mandatory radiology consultation service can decrease radiology resource use on inpatient intemal medicine services.

    Design and Setting

    - Randomized controlled trial on 4 intemal medicine services at a university hospital.

    Patients and Other Participants

    - Six radiologists performed the intervention on 2 internal medicine services over a 12-month period.

    A total of 1022 patients were admitted to the 2 intervention services and 1178 patients were admitted to the 2 control services.

    Each was staffed by an attending internist and 3 house officers.

    Intervention

    - Each radiology examination required approval by the attending radiologist before it was performed.

    Main Outcome Measure

    - Relative resource costs (relative value units [RVUs]), number of examinations per patient, proportion of patients with 1 or more tests, and mean length of stay (LOS).

    Results

    - Mean RVUs for the intervention group were 356.1, and for the control group, 336.0 (P=5).

    Mean examinations per patient for both groups was 4.4. Mean LOS for the intervention group was 6.0 days, and for the control group, 6.1 days (P=8).

    Conclusions

    - An inpatient radiology consultation service, with a goal to reduce resource use, did not achieve its goal.

    A more appropriate use of time and expense for radiology utilization management may be in the outpatient setting.

    Mots-clés Pascal : Exploration radiologique, Consultation, Service hospitalier, Gestion ressources, Diagnostic différentiel, Relation professionnelle, Rentabilité, Rapport coût bénéfice, Soin, Ambulatoire, Homme, Technique, Randomisation, Organisation santé, Economie santé

    Mots-clés Pascal anglais : Radiologic investigation, Consultation, Hospital ward, Resource management, Differential diagnostic, Professional relation, Profitability, Cost benefit ratio, Care, Ambulatory, Human, Technique, Randomization, Public health organization, Health economy

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 97-0055330

    Code Inist : 002B30A04B. Création : 21/05/1997.