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Seminars in Interventional Radiology最新文献

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Demonstrating the Value of Interventional Radiology. 展示介入放射学的价值。
IF 1 4区 医学
Seminars in Interventional Radiology Pub Date : 2023-11-02 eCollection Date: 2023-10-01 DOI: 10.1055/s-0043-1774407
Mohammad-Kasim Fassia, Resmi Charalel, Adam D Talenfeld
{"title":"Demonstrating the Value of Interventional Radiology.","authors":"Mohammad-Kasim Fassia, Resmi Charalel, Adam D Talenfeld","doi":"10.1055/s-0043-1774407","DOIUrl":"10.1055/s-0043-1774407","url":null,"abstract":"<p><p>While national healthcare expenditures per capita in the United States exceed those in all other Organisation for Economic Co-operation and Development (OECD) countries, measures of health outcomes in the United States lag behind those in peer nations. This combination of high healthcare spending and relatively poor health has led to attempts to identify high- and low-value healthcare services and to develop mechanisms to reimburse health care providers based on the value of the care delivered. This article investigates the meaning of value in healthcare and identifies specific services delivered by interventional radiologists that have accrued evidence that they meet criteria for high-value services. Recognizing the shift in reimbursement to high-value care, it is imperative that interventional radiology (IR) develop the evidence needed to articulate to all relevant stakeholders how IR contributes value to the system.</p>","PeriodicalId":48689,"journal":{"name":"Seminars in Interventional Radiology","volume":"40 5","pages":"403-406"},"PeriodicalIF":1.0,"publicationDate":"2023-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10622236/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71487676","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
How I Do It: Endovascular Management of Acute Nonvariceal Gastrointestinal Bleeding. 如何操作：急性非静脉曲张性胃肠道出血的血管内治疗。
IF 1 4区 医学
Seminars in Interventional Radiology Pub Date : 2023-11-02 eCollection Date: 2023-10-01 DOI: 10.1055/s-0043-1775850
Tushar Garg, Fereshteh Khorshidi, Peiman Habibollahi, Apurva Shrigiriwar, Adam Fang, Sasan Sakiani, Melike Harfouche, Jose J Diaz, Nariman Nezami
{"title":"How I Do It: Endovascular Management of Acute Nonvariceal Gastrointestinal Bleeding.","authors":"Tushar Garg, Fereshteh Khorshidi, Peiman Habibollahi, Apurva Shrigiriwar, Adam Fang, Sasan Sakiani, Melike Harfouche, Jose J Diaz, Nariman Nezami","doi":"10.1055/s-0043-1775850","DOIUrl":"10.1055/s-0043-1775850","url":null,"abstract":"","PeriodicalId":48689,"journal":{"name":"Seminars in Interventional Radiology","volume":"40 5","pages":"475-490"},"PeriodicalIF":1.0,"publicationDate":"2023-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10622246/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71491193","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
Endobronchial Migration of a POD Packing Coil Following Embolization of a Pulmonary Artery Pseudoaneurysm. 肺动脉假性动脉瘤栓塞后POD填充线圈的支气管内迁移。
IF 1 4区 医学
Seminars in Interventional Radiology Pub Date : 2023-11-02 eCollection Date: 2023-10-01 DOI: 10.1055/s-0043-1774408
Joseph N McLaughlin, Daniel Lamus, Siddhi Hegde, Sanjeeva P Kalva
{"title":"Endobronchial Migration of a POD Packing Coil Following Embolization of a Pulmonary Artery Pseudoaneurysm.","authors":"Joseph N McLaughlin, Daniel Lamus, Siddhi Hegde, Sanjeeva P Kalva","doi":"10.1055/s-0043-1774408","DOIUrl":"10.1055/s-0043-1774408","url":null,"abstract":"<p><p>The authors report a case of endobronchial migration of a POD packing coil following embolization of a pulmonary artery pseudoaneurysm in a patient with cavitary tuberculosis and its successful management by bronchoscopy-assisted removal of the coil. Coil migration may be secondary to continued cough and persistence of a bronchial to pulmonary artery fistula from tuberculous infection and inflammation.</p>","PeriodicalId":48689,"journal":{"name":"Seminars in Interventional Radiology","volume":"40 5","pages":"407-410"},"PeriodicalIF":1.0,"publicationDate":"2023-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10622237/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71487677","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
How Medical Services Get Valued. 医疗服务如何得到重视。
IF 1 4区 医学
Seminars in Interventional Radiology Pub Date : 2023-11-02 eCollection Date: 2023-10-01 DOI: 10.1055/s-0043-1775841
Katharine L Krol
{"title":"How Medical Services Get Valued.","authors":"Katharine L Krol","doi":"10.1055/s-0043-1775841","DOIUrl":"10.1055/s-0043-1775841","url":null,"abstract":"<p><p>The mechanisms for Medicare payment to physicians are complicated and, in fee for service Medicare, the value of a procedure code explicitly determines the payment to the physician and the out-of-pocket cost to the beneficiary. These codes are created and then valued for payment through a complex but reproducible and transparent process that allows for physician and specialty society input. This article describes the process and its implications for interventional radiology.</p>","PeriodicalId":48689,"journal":{"name":"Seminars in Interventional Radiology","volume":"40 5","pages":"437-440"},"PeriodicalIF":1.0,"publicationDate":"2023-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10622235/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71491194","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
Communicating with Your Department Chair: A Primer on How to Advocate for Your IR Section. 与你的部门主席沟通：如何为你的IR部门辩护的初级读本。
IF 1 4区 医学
Seminars in Interventional Radiology Pub Date : 2023-11-02 eCollection Date: 2023-10-01 DOI: 10.1055/s-0043-1775719
James B Spies
{"title":"Communicating with Your Department Chair: A Primer on How to Advocate for Your IR Section.","authors":"James B Spies","doi":"10.1055/s-0043-1775719","DOIUrl":"10.1055/s-0043-1775719","url":null,"abstract":"<p><p>Many interventional radiologists express concern about communicating their practice needs to their radiology department chairs. As a result, they may have difficulty getting support for hiring of additional physicians and staff, capital investments in equipment, and marketing of IR services. Some perceive that chairs have a preference for diagnostic radiology initiatives over interventional and want to know why. More importantly, they want to know how to approach their chair and succeed in their advocacy for IR. The key to success is understanding the perspective of the chair and the pressures and demands they face. That understanding allows the IR to propose their initiatives in a form that helps address some of the chair's needs and thus eases their path to success.</p>","PeriodicalId":48689,"journal":{"name":"Seminars in Interventional Radiology","volume":"40 5","pages":"399-402"},"PeriodicalIF":1.0,"publicationDate":"2023-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10622231/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71487675","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
Health Services Research: A Review for the Interventional Radiologist. 卫生服务研究：介入放射科医生综述。
IF 1 4区 医学
Seminars in Interventional Radiology Pub Date : 2023-11-02 eCollection Date: 2023-10-01 DOI: 10.1055/s-0043-1775849
Katherine Marchak, Mira Malavia, Premal S Trivedi
{"title":"Health Services Research: A Review for the Interventional Radiologist.","authors":"Katherine Marchak, Mira Malavia, Premal S Trivedi","doi":"10.1055/s-0043-1775849","DOIUrl":"10.1055/s-0043-1775849","url":null,"abstract":"<p><p>Health services research (HSR) is a multidisciplinary field which studies access to drivers of health care service utilization, the quality and cost of services, and their outcomes on groups of patients. Since its foundations in the 1960s, there has been a large focus on HSR and using large data sets to study real-world care. Because interventional radiology (IR) is a dynamic field with foundations in innovation, research often focuses on small-scale projects. This review will discuss HSR including data sources, focus areas, methodologies, limitations, and opportunities for future directions in IR.</p>","PeriodicalId":48689,"journal":{"name":"Seminars in Interventional Radiology","volume":"40 5","pages":"452-460"},"PeriodicalIF":1.0,"publicationDate":"2023-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10622239/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71491192","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
Trainee Ethics in Interventional Radiology. 介入放射学实习生道德规范。
IF 1 4区 医学
Seminars in Interventional Radiology Pub Date : 2023-11-02 eCollection Date: 2023-10-01 DOI: 10.1055/s-0043-1772816
Eric D Cyphers, Eric J Keller, Mina S Makary
{"title":"Trainee Ethics in Interventional Radiology.","authors":"Eric D Cyphers, Eric J Keller, Mina S Makary","doi":"10.1055/s-0043-1772816","DOIUrl":"10.1055/s-0043-1772816","url":null,"abstract":"","PeriodicalId":48689,"journal":{"name":"Seminars in Interventional Radiology","volume":"40 5","pages":"472-474"},"PeriodicalIF":1.0,"publicationDate":"2023-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10622242/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71491213","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
Government Relations and Interventional Radiology. 政府关系与介入放射学。
IF 1 4区 医学
Seminars in Interventional Radiology Pub Date : 2023-11-02 eCollection Date: 2023-10-01 DOI: 10.1055/s-0043-1772813
Meridith J Englander
{"title":"Government Relations and Interventional Radiology.","authors":"Meridith J Englander","doi":"10.1055/s-0043-1772813","DOIUrl":"10.1055/s-0043-1772813","url":null,"abstract":"<p><p>Health care policy in the United States is made by nonphysician lawmakers and government employees. Through advocacy and lobbying, physicians have an opportunity to be involved in the process. Interventional radiologists (IRs) are the experts on issues related to IR. Government relation offers IRs the opportunity to engage with members of Congress, officials in Federal and State agencies, and State legislators to inform and influence their decision making. The Society of Interventional Radiology PAC (SIRPAC) is the only PAC to represent the interests of interventional radiology. Increased contributions to SIRPAC are essential to be sure that the voice of IR is heard.</p>","PeriodicalId":48689,"journal":{"name":"Seminars in Interventional Radiology","volume":"40 5","pages":"395-398"},"PeriodicalIF":1.0,"publicationDate":"2023-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10622234/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71487678","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
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
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