Appropriateness and Budget Limitations: Effects on the Use of Cardiac Imaging Techniques
Autor: | Claudio Marcassa, Orazio Zoccarato |
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Rok vydání: | 2018 |
Předmět: |
Potential impact
Histology Modalities business.industry Cell Biology 030204 cardiovascular system & hematology Applied Microbiology and Biotechnology 030218 nuclear medicine & medical imaging 03 medical and health sciences 0302 clinical medicine Risk analysis (engineering) Health care Cardiac Imaging Techniques Medicine Radionuclide imaging Set (psychology) business Budget constraint |
Zdroj: | Current Cardiovascular Imaging Reports. 11 |
ISSN: | 1941-9074 1941-9066 |
Popis: | In recent years, increasing economical limitations resulted in a general reduction in health care spending possibilities and, finally, in budget limitations. The potential impact of these economical restrictions on cardiac imaging is discussed. Imaging techniques are responsible of a consistent amount of the health care spending, in particular cardiovascular imaging techniques and, among them, radionuclide imaging modalities. To contain costs, the focus of payers, scientific societies, and political organizations is mainly set to reduce the number of exam, mainly by acting on inappropriate testing, that is the overuse. However, the underuse, which consists in studies that actually are indicated, according to guidelines, but are not performed, is also responsible of a possible rise in long-term costs for the health care system through missing early diagnosis and thus not preventing possible events in high risk subjects. Because of budget constraint, actions to reduce the number of cardiac imaging studies by improving the appropriateness of the indications and to contain investments in hardware and software upgrading are promoted. A different approach is discussed. |
Databáze: | OpenAIRE |
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