To present results with a radiology performance report to help evaluate utilization of radiologic examinations by primary-care practices (family practice, internal medicine, or pediatrics) in an independent practice association health maintenance organization (HMO).
Utilization reports for primary-care-physician practices (n=5,000) over a 12-month period (July 1,1993 through June 30,1994) were derived from administrative data collected from claim and encounter forms submitted by radiologic practices.
Data were divided into 22 measures to help define practice utilization.
Five overall measures helped evaluate procedures performed by HMO member or non-member practices per 1,000 members.
Twelve specific measures helped evaluate patterns of use of frequently ordered imaging procedures (eg, computed tomography, magnetic resonance imaging, bone scanning, cardiovascular nuclear imaging, nonobstetric ultrasound, and plain radiography).
Five quality measures helped evaluate utilization of screening mammography in women aged 50-64 years (as a percentage of all women in the HMO aged 50-64 years) and of low-yield examinations (ie, sinus, rib, and skull radiography per 1,000 adult members).
Individual practice utilization mean results were compared with overall HMO mean results adjusted for practice type and age and sex of members. (...)
Mots-clés Pascal : Radiologie, Soin santé primaire, Organisation santé, Economie santé, Etats Unis, Amérique du Nord, Amérique, Homme
Mots-clés Pascal anglais : Radiology, Primary health care, Public health organization, Health economy, United States, North America, America, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0192377
Code Inist : 002B30A04B. Création : 21/05/1997.