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
SEARCH
Current Location:
>
> This Story


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

 

advertisement

 

Business Affairs Homepage

Empowering patients is more transformational than you thought (or feared) Understanding a shifting paradigm in the care continuum

J. Michael Losh Cardinal Health appoints member to board of directors

Dr. Michael Rosol Navidea Biopharmaceuticals appoints chief medical officer

MDW aims to combat radiologist shortage with blockchain Connecting radiologists seeking volume to the facilities that need reading support

United Imaging Healthcare makes US debut at RSNA Bringing MR, CT, X-ray and PET/CT manufacturing to Houston

Dr. Hermann Requardt United Imaging Healthcare appoints senior scientific advisor

Dr. Jaewon Ryu Geisinger appoints interim president and CEO

Dr. Kent Thielen Mayo Clinic appoints CEO of its Florida operations; board of trustees names two new members

Medical charities do measurable good in the world A look at some organizations bringing goods and services where they are needed most

Mike Lobinsky EOS Imaging appoints new President North America

Researchers offer guidance for weighing value in radiology

by John W. Mitchell , Senior Correspondent
The ultimate goal for any radiologist is to produce an image at the trifecta of lowest cost, highest safety and best quality... but can a valid cost-effectiveness analysis (CEA) provide insight in reaching these goals?

A team from John Hopkins Medical School is working to answer that question. The group of two radiologist/MBAs and a Medicare policy expert just published their findings on CEAs in an article in the most recent issue of the Journal of the American College of Radiology.

Story Continues Below Advertisement

RaySafe helps you avoid unnecessary radiation

RaySafe solutions are designed to minimize the need for user interaction, bringing unprecedented simplicity & usability to the X-ray room. We're committed to establishing a radiation safety culture wherever technicians & medical staff encounter radiation.



“Medical imaging is increasingly criticized for its value to patients and the healthcare system. Concern over unnecessary imaging and harmful radiation exposure have prompted the development of various evidence-based guidelines, such as the ACR’s Appropriateness Criteria,” Matthew Alvin, M.D./MBA, radiology resident-physician and one of the authors told HCB News. “Unfortunately, CEAs are difficult to interpret, owing to no standard model for their performance, thus hindering their application.”

The researchers identified four points of consideration based on their study of 80 CEA models. These include:

- Clearly state all direct and indirect costs included in the calculation: There was no consensus among the models about costs. Also, there was not uniform agreement on the definition of costs. For example, in the study review, 87.5 percent of studies had varying levels of details of cost inventory tables.

- Clearly state and align perspective with the intended user: A CEA should identify the intended user and what type of policy decision it should inform. Not all the models defined the same perspective. For example, some models included indirect societal costs, while others did not.

- Measure patient outcomes using Quality Adjusted Life Year (QALY): The issue of QALY in radiology has been extensively discussed and examined. This issue is complicated because the downstream disease management is influenced by factors beyond diagnosis.

Compare results with a range of Willingness-To-Pay (WTP) thresholds: This measurement refers to what a patient is willing to pay to achieve a specific health benefit. This factor has a direct relationship to healthcare policy and budget. Current World Health Organization (WHO) measures are widely considered to be inaccurate.

The study noted that such variables could lead to wildly differing assumptions. For example, if one study uses a threshold for defining cost-effectiveness as $100,000/QALY gained but another study uses a threshold of $50,000/QALY gained, then a result for an imaging study of $75,000/QALY gained will be interpreted differently between the two studies. This leaves policymakers wondering which is correct

“Controversy over using the results of CEAs to influence healthcare policy decisions stems partly from a lack of a standardized method for performing them,” said Alvin. “By heeding the recommendations provided in our study, radiologists can improve the validity and transparency of CEAs and help clinicians and policymakers properly apply cost-effectiveness results to patient care.”

Business Affairs Homepage


You Must Be Logged In To Post A Comment

Advertise
Increase Your
Brand Awareness
Auctions + Private Sales
Get The
Best Price
Buy Equipment/Parts
Find The
Lowest Price
Daily News
Read The
Latest News
Directory
Browse All
DOTmed Users
Ethics on DOTmed
View Our
Ethics Program
Gold Parts Vendor Program
Receive PH
Requests
Gold Service Dealer Program
Receive RFP/PS
Requests
Healthcare Providers
See all
HCP Tools
Jobs/Training
Find/Fill
A Job
Parts Hunter +EasyPay
Get Parts
Quotes
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
Quotes
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 DOTmed.com, Inc. Copyright ©2001-2018 DOTmed.com, Inc.
ALL RIGHTS RESERVED