PMID: 8945692Oct 1, 1996Paper

Assessment of joint review of radiologic studies by a primary care physician and a radiologist

Journal of General Internal Medicine
B C KnollmannK A Schulman

Abstract

To assess whether the joint review of radiologic studies by the primary care physician and the radiologist affects patient care and health care costs. Prospective study. Student health clinic at a university hospital. University students seen during acute care visits. Joint weekly review of all radiologic studies ordered at the student health clinic between July 1992 and June 1993 by a staff radiologist and internist. The outcome measures were: (1) change of radiologic diagnosis after review process and its effect on patient management; (2) expenses saved or incurred by the review process. Of 323 films ordered, 305 were reviewed, resulting in revisions of 23 (8%) of the initial readings. Sixteen revisions (5%) led to a change in patient management; the remainder were clinically insignificant. In these 16 cases, cancellation or simplification of further workup resulted in savings of $1,967. The cost for extra physician time was $5,499. Thus, the review process incurred a net cost of $3,532. Except for the reduction in diagnostic studies, no therapeutic benefit for the patients could be identified. Film readings in our radiology department were conservative, with a positive predictive value of 85% and a negative predictive value ...Continue Reading

References

Jan 1, 1975·Investigative Radiology·P G Herman, S J Hessel
Sep 1, 1975·Chest·P G HermanD Ozonoff
Oct 1, 1992·Clinical Radiology·D P Leung, A K Dixon
Aug 3, 1963·JAMA : the Journal of the American Medical Association·M H SCHREIBER

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Citations

Feb 19, 2021·BMC Family Practice·Malak Al ShammariHind S Alsaif

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