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Seminars in Interventional Radiology最新文献

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Medicare Payment Policy: The Basics. 医疗保险支付政策：基础。
IF 1 4区 医学
Seminars in Interventional Radiology Pub Date : 2023-11-02 eCollection Date: 2023-10-01 DOI: 10.1055/s-0043-1775722
Laura K Findeiss
{"title":"Medicare Payment Policy: The Basics.","authors":"Laura K Findeiss","doi":"10.1055/s-0043-1775722","DOIUrl":"10.1055/s-0043-1775722","url":null,"abstract":"<p><p>The mechanisms of payment for medical services are complicated and create predictable incentives. Physicians can benefit from understanding how hospitals, practices, employers, and payers understand payment, since this has a role in determining how certain patient care services are valued and prioritized. Type of hospital, location of service delivery, and a physician's relationship with the payer or provider entity can greatly impact the value of a physician's work. The landscape of payers is large, but Medicare payment has come to drive the behavior of many private payers. This article will outline the key components of Medicare and how they apply to physicians, hospitals, and ambulatory surgical centers to provide a basic structure for thinking about payment for medical services. This review of the fundamentals of Medicare payment will provide a framework for physicians to understand the financial incentives that underlie clinical and operational decisions in the healthcare system.</p>","PeriodicalId":48689,"journal":{"name":"Seminars in Interventional Radiology","volume":"40 5","pages":"411-418"},"PeriodicalIF":1.0,"publicationDate":"2023-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10622233/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71487680","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A Review of Healthcare Disparities Relevant to Interventional Radiology. 与介入放射学相关的医疗保健差异综述。
IF 1 4区 医学
Seminars in Interventional Radiology Pub Date : 2023-11-02 eCollection Date: 2023-10-01 DOI: 10.1055/s-0043-1775878
Katherine Marchak, Davinder Singh, Mira Malavia, Premal Trivedi
{"title":"A Review of Healthcare Disparities Relevant to Interventional Radiology.","authors":"Katherine Marchak, Davinder Singh, Mira Malavia, Premal Trivedi","doi":"10.1055/s-0043-1775878","DOIUrl":"10.1055/s-0043-1775878","url":null,"abstract":"<p><p>Racial, ethnic, and gender disparities have received focused attention recently, as they became more visible in the COVID era. We continue to learn more about how healthcare disparities manifest for our patients and, more broadly, the structural underpinnings that result in predictable outcomes gaps. This review summarizes what we know about disparities relevant to interventional radiologists. The prevalence and magnitude of disparities are quantified and discussed where relevant. Specific examples are provided to demonstrate how factors like gender, ethnicity, social status, geography, etc. interact to create inequities in the delivery of interventional radiology (IR) care. Understanding and addressing health disparities in IR is crucial for improving real-world patient outcomes and reducing the economic burden associated with ineffective and low-value care. Finally, the importance of intentional mentorship, outreach, education, and equitable distribution of high-quality healthcare to mitigate these disparities and promote health equity in interventional radiology is discussed.</p>","PeriodicalId":48689,"journal":{"name":"Seminars in Interventional Radiology","volume":"40 5","pages":"427-436"},"PeriodicalIF":1.0,"publicationDate":"2023-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10622245/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71487673","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Grab Your Toolbox. 拿起你的工具箱。
IF 1 4区 医学
Seminars in Interventional Radiology Pub Date : 2023-11-02 eCollection Date: 2023-10-01 DOI: 10.1055/s-0043-1775836
Laura K Findeiss
{"title":"Grab Your Toolbox.","authors":"Laura K Findeiss","doi":"10.1055/s-0043-1775836","DOIUrl":"10.1055/s-0043-1775836","url":null,"abstract":"","PeriodicalId":48689,"journal":{"name":"Seminars in Interventional Radiology","volume":"40 5","pages":"394"},"PeriodicalIF":1.0,"publicationDate":"2023-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10622238/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71487679","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Transarterial Radioembolization: Overview of Radioembolic Devices. 经动脉放射栓塞：放射栓塞装置综述。
IF 1 4区 医学
Seminars in Interventional Radiology Pub Date : 2023-11-02 eCollection Date: 2023-10-01 DOI: 10.1055/s-0043-1772814
Muhamad Serhal, Andrew C Gordon, Daniel B Brown, Beau B Toskich, Robert J Lewandowski
{"title":"Transarterial Radioembolization: Overview of Radioembolic Devices.","authors":"Muhamad Serhal, Andrew C Gordon, Daniel B Brown, Beau B Toskich, Robert J Lewandowski","doi":"10.1055/s-0043-1772814","DOIUrl":"10.1055/s-0043-1772814","url":null,"abstract":"","PeriodicalId":48689,"journal":{"name":"Seminars in Interventional Radiology","volume":"40 5","pages":"461-466"},"PeriodicalIF":1.0,"publicationDate":"2023-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10622244/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71487682","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Nonclinical Drivers of IR. IR的非临床驱动因素。
IF 1 4区 医学
Seminars in Interventional Radiology Pub Date : 2023-11-02 eCollection Date: 2023-10-01 DOI: 10.1055/s-0043-1775721
Charles E Ray
{"title":"The Nonclinical Drivers of IR.","authors":"Charles E Ray","doi":"10.1055/s-0043-1775721","DOIUrl":"10.1055/s-0043-1775721","url":null,"abstract":"","PeriodicalId":48689,"journal":{"name":"Seminars in Interventional Radiology","volume":"40 5","pages":"393"},"PeriodicalIF":1.0,"publicationDate":"2023-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10622240/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71491212","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Working with Hospital Administration: Strategies for Success. 与医院管理部门合作：成功的策略。
IF 1 4区 医学
Seminars in Interventional Radiology Pub Date : 2023-11-02 eCollection Date: 2023-10-01 DOI: 10.1055/s-0043-1775879
Charles E Ray
{"title":"Working with Hospital Administration: Strategies for Success.","authors":"Charles E Ray","doi":"10.1055/s-0043-1775879","DOIUrl":"10.1055/s-0043-1775879","url":null,"abstract":"<p><p>Organizational structure has evolved over the past several decades, with physicians assuming more or fewer leadership positions over time. Regardless of the role of physicians in health care organizational leadership, constant meaningful communication with the hospital, radiology group, or greater physician group administrative leadership is vital for any group of IR physicians to be successful. Understanding what is considered important to hospital administration and, in particular, being closely aligned with the C-suite leadership, is paramount to having successful communication with these stakeholders. Although each situation will obligatorily be unique, certain themes can be followed to optimize the working relationship between an interventional radiology service and organizational administration. This article provides guidelines and suggestions specifically in communicating with health care system leadership.</p>","PeriodicalId":48689,"journal":{"name":"Seminars in Interventional Radiology","volume":"40 5","pages":"441-448"},"PeriodicalIF":1.0,"publicationDate":"2023-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10622232/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71487699","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Advancing IR in Underserved Regions: Interventional Radiology Simulation Near and Far. 在服务不足区域推进IR：近距离和远距离介入放射学模拟。
IF 1 4区 医学
Seminars in Interventional Radiology Pub Date : 2023-11-02 eCollection Date: 2023-10-01 DOI: 10.1055/s-0043-1775723
Cornelius K Koech, Victor I Rivera, Kevin Anton, Robert G Dixon
{"title":"Advancing IR in Underserved Regions: Interventional Radiology Simulation Near and Far.","authors":"Cornelius K Koech, Victor I Rivera, Kevin Anton, Robert G Dixon","doi":"10.1055/s-0043-1775723","DOIUrl":"10.1055/s-0043-1775723","url":null,"abstract":"<p><p>Simulation facilitates learning by imitating real-world systems or processes utilizing educational tools and models. Various fields, including business, aviation, and education use simulation for training. In healthcare, simulation provides trainees opportunities to develop procedural skills in a safe environment, building their understanding through hands-on interactions and experiences rather than passive didactics. Simulation is classified into low, medium, and high fidelity, based on how closely it mimics real-life experience. Its use in education is a valuable adjunct to instructional support and training with multiple potential benefits. Interventional radiology (IR) trainees can build technical and clinical proficiency prior to working directly on a patient. Simulation promotes experiential learning, constructivist learning, and student centeredness, thus giving students control over their learning and knowledge acquisition. More recently, the creative use of remote simulation has augmented traditional virtual didactic lectures, thereby further engaging international learners and enhancing remote collaboration. Despite the challenges to implementation, the addition of simulation in IR education is proving invaluable to supporting trainees and physicians in underserved regions.</p>","PeriodicalId":48689,"journal":{"name":"Seminars in Interventional Radiology","volume":"40 5","pages":"419-426"},"PeriodicalIF":1.0,"publicationDate":"2023-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10622241/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71487674","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Placenta Accreta Spectrum: An Overview. 胎盘增生谱：综述。
IF 1 4区 医学
Seminars in Interventional Radiology Pub Date : 2023-11-02 eCollection Date: 2023-10-01 DOI: 10.1055/s-0043-1772815
Abheek Ghosh, Sean Lee, Christina Lim, Robert L Vogelzang, Howard B Chrisman
{"title":"Placenta Accreta Spectrum: An Overview.","authors":"Abheek Ghosh, Sean Lee, Christina Lim, Robert L Vogelzang, Howard B Chrisman","doi":"10.1055/s-0043-1772815","DOIUrl":"10.1055/s-0043-1772815","url":null,"abstract":"","PeriodicalId":48689,"journal":{"name":"Seminars in Interventional Radiology","volume":"40 5","pages":"467-471"},"PeriodicalIF":1.0,"publicationDate":"2023-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10622243/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71487681","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Private Equity and Radiology: Productive Partnership or Inherently Misaligned? 私募股权与放射学：生产性伙伴关系还是内在错位？
IF 1 4区 医学
Seminars in Interventional Radiology Pub Date : 2023-11-02 eCollection Date: 2023-10-01 DOI: 10.1055/s-0043-1775720
Elie Balesh, Hannah Hund, Eric J Keller
{"title":"Private Equity and Radiology: Productive Partnership or Inherently Misaligned?","authors":"Elie Balesh, Hannah Hund, Eric J Keller","doi":"10.1055/s-0043-1775720","DOIUrl":"10.1055/s-0043-1775720","url":null,"abstract":"<p><p>Private equity acquisition of medical groups and health care organizations is becoming increasingly important in medicine and is a trend that is likely to continue for the foreseeable future. Some question the ethical implications of private equity acquisitions, since the clear goal of such organizations is maximizing profitability, which may or may not be in the best interests of either the patient population or the provider group. This article will describe the role of private equity in the medical marketplace, with a focus on the role of private equity in radiology and interventional radiology specifically. Additionally, this article will explore this growing trend in the radiology marketplace and its anticipated effects upon patient care and professional satisfaction for radiologists.</p>","PeriodicalId":48689,"journal":{"name":"Seminars in Interventional Radiology","volume":"40 5","pages":"449-451"},"PeriodicalIF":1.0,"publicationDate":"2023-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10622230/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71491211","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A 5-year experience with midline catheters in the management of major head and neck surgery patients. 使用中线导管治疗头颈部大手术患者的 5 年经验。
4区 医学
Seminars in Interventional Radiology Pub Date : 2023-11-01 Epub Date: 2022-04-20 DOI: 10.1177/11297298221091141
Luca Giovanni Locatello, Thomas Saitta, Giandomenico Maggiore, Patrizia Signorini, Fulvio Pinelli, Chiara Adembri
{"title":"A 5-year experience with midline catheters in the management of major head and neck surgery patients.","authors":"Luca Giovanni Locatello, Thomas Saitta, Giandomenico Maggiore, Patrizia Signorini, Fulvio Pinelli, Chiara Adembri","doi":"10.1177/11297298221091141","DOIUrl":"10.1177/11297298221091141","url":null,"abstract":"<p><strong>Background: </strong>In the perioperative management of major head and neck surgery (HNS) patients, the performance of midline catheters (MCs) has been never tested. We present here our 5-year experience by reporting MC-related complications and by identifying the preoperative risk factors associated with their development.</p><p><strong>Methods: </strong>Clinical variables were extracted and the dwell time, the number, and the type of postprocedural complications of MCs were retrieved. Complications were classified into major (needing MCs removal and including catheter-related bloodstream infection or deep vein thrombosis or catheter occlusion) and into minor (accidental dislodgement, leaking, etc.). Descriptive statistics and logistic regression models were used in order to identify the predictors of complications.</p><p><strong>Results: </strong>A total of 265 patients were included, with a mean age of 67.4 years. Intraprocedural complications occurred in 1.1% of cases, while postprocedural complications occurred in 13.9% of cases (12.05/1000 days), but they were minor in more than 7.0% (5.4/1000 catheter-days). There were 19 minor complications (7.1% or 5.4/1000 catheter-days) while 18 (7%, 5.1/1000 catheter-days) patients experienced at least one major complication. Female sex (OR = 1.963, 95% CI 1.017-3.792), insertion in the right arm (OR = 2.473, 95% CI 1.150-5.318), and an ACE-27 score >1 (OR = 2.573, 95% CI 1.295-5.110) were independent predictors of major complications.</p><p><strong>Conclusions: </strong>MCs appear to represent an effective option in the setting of major HNS. The identification of patients most at risk for MC-related complications should prompt a postoperative watchful evaluation.</p>","PeriodicalId":48689,"journal":{"name":"Seminars in Interventional Radiology","volume":"4 1","pages":"1412-1420"},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80172581","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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