DOTmed Home MRI Oncology Ultrasound Molecular Imaging X-Ray Cardiology Health IT Business Affairs
News Home Parts & Service Operating Room CT Women's Health Proton Therapy Endoscopy HTMs Mobile Imaging
Current Location:
> This Story

Log in or Register to rate this News Story
Forward Printable StoryPrint Comment




MRI Homepage

New VR app may ease MR anxiety Hope to cut down on the need to sedate patients

NYU releases biggest ever MR data set in AI Facebook collaboration With fastMRI, acceleration of imaging by factor of four 'already possible'

Elekta Unity MR-linac gains FDA 510(k) clearance Simultaneously delivers radiation dose and visualization of tumors

The imaging implant conundrum: scanning safely and efficiently The number of people with implanted medical devices is skyrocketing

Making the 'virtual biopsy' a reality with MR spectroscopy New techniques have big potential for MR imaging

Metrasens promotes MR safety data management solution and implant detection study Beyond ferromagnetic detectors

Canon debuts AI for image reconstruction and 1.5T MR at RSNA Advanced Intelligent Clear-IQ Engine and Vantage Orian

Philips debuts versions of its Ingenia Ambition 1.5T MR System Equipped with BlueSeal magnet, can perform helium-free operations

Implants, gadolinium and AI: Changing perceptions in MR From hard questions over contrast retention to softening views on implants

Siemens debuts 1.5T MR and floor-mounted rad system at RSNA Bringing premium technology to the price-conscious market

Walking the cost-benefit tightrope
in a value-based era

MR exams are among most frequently 'rationed' health services: study

by John W. Mitchell , Senior Correspondent
A team of physicians and biomedical ethicists have finally crunched the numbers on a well-known health care practice: sometimes, despite established protocols, doctors don’t order tests that may benefit patients.

“People get upset when we say we ration care in America,” Dr. Robert D. Sheeler, lead researcher formerly at Mayo Clinic, told HCB News. “But we, as a society, need to be mature and more sophisticated in discussing these issues.”

Story Continues Below Advertisement


Special-Pricing Available on Medical Displays, Patient Monitors, Recorders, Printers, Media, Ultrasound Machines, and Cameras.This includes Top Brands such as SONY, BARCO, NDS, NEC, LG, EDAN, EIZO, ELO, FSN, PANASONIC, MITSUBISHI, OLYMPUS, & WIDE.

The study, published recently in the Journal of General Internal Medicine, was modeled to expand on a European study that yielded similar results. The random sample survey was mailed to nearly 4,000 U.S. physicians across specialties.

The team got a 65.6 percent response rate, an indication of keen interest in the topic.

Prescription drugs (48.3 percent) and MR (44.5 percent) were listed as the most frequently rationed aspects of care. X-rays, lab tests and specialty referrals followed (20-40 percent). Primary care physicians in small or solo practices were most likely to skip tests or name brand drugs if the services offered minimal benefit, and specialists and surgeons were found less likely to exhibit rationing behaviors.

Sheeler, who recently left Mayo to work for a private genetics and biomarker company, cited lack of insurance or high deductibles as the most likely financial factors at play. The study also speculated that avoiding excessive insurance paperwork for perceived minor benefits could also be a factor.

“In truth every decision I make as a doctor has a financial consideration,” Sheeler said. “Do I order every electrocardiogram on an emergency basis, which costs twice as much? Or do I schedule the test to save the patient money? It depends on the patient’s needs.”

The survey asked doctors mostly indirect questions about rationing behavior in the past 30 days. Physician responses included skipping tests that offered minimal benefit to patients or using older formulary prescription drugs rather than newer drugs that might offer added benefits at an added cost.

One survey question that specifically used the term “rationing” scored lower than the other behavioral questions, indicating that it may be a "hot button" topic among doctors.

“There was a feeling in medicine for a long time that if you are not ordering every test or treatment possible, then you don’t care about me,” Sheeler added. “But this started changing when insurance deductibles got higher.”

He recalled the case of a family member who was dying from Alzheimer’s. Sheeler finally directed the hospital to stop running a battery of diagnostic tests every time the patient ended up in the hospital — It was not going to change the outcome and it was unkind to the patient.

Sheeler said that as far as he knows, this was the first U.S. study to focus on rationing behaviors rather than solely on rationing attitudes among physicians.

The study cited the AMA Council on Ethical and Judicial Affairs: “Making cost-conscious decisions is not far removed from the professional judgments physicians already make. Physicians routinely decide whether interventions with small benefits are worthwhile."

MRI Homepage

You Must Be Logged In To Post A Comment

Increase Your
Brand Awareness
Auctions + Private Sales
Get The
Best Price
Buy Equipment/Parts
Find The
Lowest Price
Daily News
Read The
Latest News
Browse All
DOTmed Users
Ethics on DOTmed
View Our
Ethics Program
Gold Parts Vendor Program
Receive PH
Gold Service Dealer Program
Receive RFP/PS
Healthcare Providers
See all
HCP Tools
A Job
Parts Hunter +EasyPay
Get Parts
Recently Certified
View Recently
Certified Users
Recently Rated
View Recently
Certified Users
Rental Central
Rent Equipment
For Less
Sell Equipment/Parts
Get The
Most Money
Service Technicians Forum
Find Help
And Advice
Simple RFP
Get Equipment
Virtual Trade Show
Find Service
For Equipment
Access and use of this site is subject to the terms and conditions of our LEGAL NOTICE & PRIVACY NOTICE
Property of and Proprietary to, Inc. Copyright ©2001-2018, Inc.