Perceptions of patients and providers on myocardial perfusion imaging for asymptomatic patients, choosing wisely, and professional liability

Autor: Kristopher P. Kline, Leslee Shaw, Rebecca J. Beyth, Jared Plumb, Linda Nguyen, Tianyao Huo, David E. Winchester
Jazyk: angličtina
Rok vydání: 2017
Předmět:
Zdroj: BMC Health Services Research, Vol 17, Iss 1, Pp 1-8 (2017)
Druh dokumentu: article
ISSN: 1472-6963
DOI: 10.1186/s12913-017-2510-y
Popis: Abstract Background Despite efforts by professional societies to reduce low value care, many reports indicate that unnecessary tests, such as nuclear myocardial perfusion imaging (MPI), are commonly used in contemporary practice. The degree to which lack of awareness and professional liability concerns drive these behaviors warrants further study. We sought to investigate patient and provider perceptions about MPI in asymptomatic patients, the Choosing Wisely (CW) campaign, and professional liability concerns. Methods We administered an anonymous, paper-based survey with both discrete and open-response queries to subjects in multiple outpatient settings at our facilities. The survey was completed by 456 respondents including 342 patients and 114 physicians and advanced practice providers between May and August 2014. Our outcome was to compare patient and provider perceptions about MPI in asymptomatic patients and related factors. Results Patients were more likely than providers to report that MPI was justified for asymptomatic patients (e.g. asymptomatic with family history of heart disease 75% versus 9.2%, p
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