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- W2013135511 abstract "As we look for ways to encourage our specialty to move from a reliance on the volume of the services we perform to maximizing the value of what we do, our specialty faces considerable headwinds. I’ve never met a radiologist or any of our referring physicians who don’t believe that imaging provides tremendous value to health care delivery. In fact, in 2001, a survey of 225 leading internists rated the value of CT and MRI first among 30 medical innovations of the past 50 years [ 1 Fuchs V.R. Sox H.J. Physicians’ views of the relative importance of thirty medical innovations. Health Aff (Millwood). 2001; 20: 30-42 Crossref PubMed Scopus (207) Google Scholar ]. Intuition tells us that when we find something valuable, we should do more of it, and between 2000 and 2008, that’s exactly what happened. As imaging’s capabilities expanded, dramatic growth in the use of medical imaging occurred, especially CT and MRI [ 2 Medicare Payment Advisory Commission. Report to the Congress: improving incentives in the Medicare program. June 2009. Available at: http://www.medpac.gov/documents/Jun09_EntireReport.pdf. Accessed July 30, 2014. Google Scholar ]. But our value assertion is not just based on intuition. Recent investigations have shown that patients who are imaged earlier in their hospital stays have better outcomes and decreased lengths of stay [ 3 Lee D.W. Foster D.A. The association between hospital outcomes and diagnostic imaging: early findings. J Am Coll Radiol. 2009; 6: 780-785 Abstract Full Text Full Text PDF PubMed Scopus (29) Google Scholar , 4 Battle J.C. Hahn P.F. Thrall J.H. Lee S.I. Patients imaged early during admission demonstrate reduced length of hospital stay: a retrospective cohort study of patients undergoing cross-sectional imaging. J Am Coll Radiol. 2010; 7: 269-276 Abstract Full Text Full Text PDF PubMed Scopus (33) Google Scholar ]. Yet with the increased growth came increased costs, leading many policymakers to assert that the growth in medical imaging was due to overpricing, and as a result, imaging reimbursement has been cut by federal legislation or regulation 13 times in the past 6 years [ 5 Hackbarth G. Testimony to Congress. Available at: http://www.c-spanvideo.org/videoLibrary/clip.php?appid=599697351. Accessed July 30, 2014. Google Scholar ]. Additionally, declines in imaging reimbursement have occurred, thanks to a growing desire among policymakers to redistribute health care resources from specialists to primary care. Managing declining reimbursement has been a challenge for all of us, leading to longer work hours, less vacation, and a desire to limit interruptions to maximize productivity [ 6 Forman H.P. Larson D.B. Kazerooni E.A. et al. Masters of radiology panel discussion—is imaging in decline?. AJR Am J Roentgenol. 2013; 200: 127-131 Crossref PubMed Scopus (5) Google Scholar ]. That most of us feel like we don’t have time to be anything but film readers is perhaps our most significant headwind." @default.
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- W2013135511 date "2014-09-01" @default.
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- W2013135511 title "Changing Headwinds to Tailwinds" @default.
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- W2013135511 doi "https://doi.org/10.1016/j.jacr.2014.07.033" @default.
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