探索核磁共振成像前的成像检查:患者调查揭示了对以色列医疗效率的潜在影响。

IF 3.5 4区 医学 Q1 HEALTH POLICY & SERVICES
Arielle Kaim, Clara Singer, Lucia Bergovoy-Yellin, Osnat Luxenburg, Sharona Vaknin, Noga Boldor, Rachel Wilf-Miron, Vicki Myers
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引用次数: 0

摘要

背景:医学影像检查在医疗保健中至关重要,但成本高昂,影响国民健康支出。磁共振成像(MRI)是评估医疗状况的重要诊断工具。然而,核磁共振成像扫描需求的不断增长常常使可用资源捉襟见肘。本研究旨在估算以色列公共卫生系统中最终接受核磁共振成像检查的患者接受不同成像检查的比例:方法:2023 年 1 月至 2 月,我们对 557 名以色列成年人进行了核磁共振成像检查预约体验在线调查,调查对象包括所有四家健康维护组织 (HMO)。所有参与者在过去一年内均在公共医疗系统接受过核磁共振成像检查:结果显示,60%的参与者在接受核磁共振成像扫描前接受了其他成像检查。其中,计算机断层扫描(CT)(43%)、X 光(39%)和超声波(32%)是最常见的附加成像程序。此外,在 60% 的参与者中,23% 的人之前接受过一次以上的成像检查:这些研究结果突显了在进行核磁共振成像之前进行初步成像检查的普遍性,许多患者因同一问题接受了多次检查。医疗系统可能需要评估目前界定使用各种成像检查的临床指南是否具有成本效益。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Exploring pre-MRI imaging tests: patient survey reveals potential implications for healthcare efficiency in Israel.

Background: Medical imaging tests are vital in healthcare but can be costly, impacting national health expenditures. Magnetic resonance imaging (MRI) is a crucial diagnostic tool for assessing medical conditions. However, the rising demand for MRI scans has frequently strained available resources. This study aimed to estimate the prevalence of different imaging tests in individuals who eventually had an MRI, in the Israeli public health system.

Methods: An online survey of patient experience of scheduling an MRI was conducted in January-February 2023, among 557 Israeli adults, representing all four health maintenance organizations (HMOs). All participants had undergone an MRI in the public health system within the past year.

Results: Results showed that 60% of participants underwent other imaging tests before their MRI scan. Of those, computed tomography (CT) scans (43%), X-rays (39%), and ultrasounds (32%) were the most common additional imaging procedures. In addition, of the 60% of participants, 23% had undergone more than one prior imaging examination.

Conclusions: These findings highlight the high prevalence of preliminary imaging tests prior to MRI, with many patients undergoing multiple tests for the same problem. The health system may need to evaluate whether current clinical guidelines defining the use of various imaging tests are cost-effective.

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来源期刊
CiteScore
6.20
自引率
4.40%
发文量
38
审稿时长
28 weeks
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