The Case of MRI Repetitions with Direct and Indirect Cost Implications: Evidence from Hacettepe University Hospitals

Yıl 2019, Cilt: 27 Sayı: 41, 253 - 262, 31.07.2019

Dilek Başar , İlhan Can Özen , Selcen Öztürk , Ekim Gümeler Deniz Akata Arbay Özden Çiftçi

https://doi.org/10.17233/sosyoekonomi.2019.03.13

Cited By: 1

Öz

This study investigates the case of repeated MRIs using data from Hacettepe University Hospitals. Results indicate that almost 34% of MRI consultations have to be repeated within the same year due to suboptimal quality that hinders correct assessment and diagnosis. Suboptimal quality refers to; movement artefacts, use of wrong scan technique or sequence, inexperienced reader and/or shortened time intervals. In fact, almost 30% of those repetitions result in a change in diagnosis. Results suggest that the probability of repetition is higher among women and children.

Anahtar Kelimeler

Health Policy, MRI Overutilization, Direct and Indirect Costs, Turkey

Tekrarlanan MR Görüntülemelerinin Doğrudan ve Dolaylı Maliyet Etkileri: Hacettepe Üniversitesi Hastanelerinden Bulgular

Öz

Bu çalışma Hacettepe Üniversitesi Hastanelerinden elde edilen veriler aracılığıyla tekrarlanan MR incelemelerini araştırmaktadır. Çalışmadan elde edilen sonuçlar konsülte edilen MR’ların yaklaşık %34’ünün düşük kalite sebebiyle aynı yıl içinde tekrar edildiğini göstermiştir. Düşük kalite; hareket artefaktları, yanlış tarama tekniği veya dizisinin kullanımı, deneyimsiz okuyucu ve / veya kısaltılmış zaman aralıkları olarak tanımlanmaktadır. Söz konusu MR’ların %30’unda ise tanı değişikliği olmuştur. Sonuçlar çocuklar ve kadınlar için tekrar olasılığının daha yüksek olduğuna işaret etmektedir.

Anahtar Kelimeler

Sağlık Politikası, Aşırı MR Kullanımı, Doğrudan ve Dolaylı Maliyetler, Türkiye

Kaynakça

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