A medical student perspective on self-referral and overutilization in radiology: Application of the four core principles of medical ethics

Journal of the American College of Radiology

Volumn 9, Issue 4, 2012, Pages 251-255

  Sarma, Asha ^a   Heilbrun, Marta E ^a  

^a UNIVERSITY OF UTAH SCHOOL OF MEDICINE   (United States)

Author keywords

medical ethics; overutilization; Self referral

Indexed keywords

ACT; BENEFICENCE; HEALTH CARE ACCESS; HEALTH CARE COST; HEALTH CARE POLICY; HUMAN; INTERPERSONAL COMMUNICATION; JUSTICE; MEDICAL ETHICS; MEDICAL STUDENT; NONMALEFICENCE; PATIENT AUTONOMY; PATIENT REFERRAL; RADIOLOGY; REVIEW;

EID: 84926237339     PISSN: 15461440     EISSN: 1558349X     Source Type: Journal    
DOI: 10.1016/j.jacr.2011.11.017     Document Type: Review

References (43)

1. Medicare Payment Advisory Commission Report to the Congress: Medicare payment policy 2011 MedPAC Washington, DC
2. J.K. Iglehart The new era of medical imagingprogress and pitfalls N Engl J Med 354 2006 2822 2828
3. H. Hricak, D.J. Brenner, S.J. Adelstein Managing radiation use in medical imaging: a multifaceted challenge Radiology 258 2011 889 905
4. W.R. Hendee, G.J. Becker, J.P. Borgstede Addressing overutilization in medical imaging Radiology 257 2010 240 245
5. L.C. Baker Acquisition of MRI equipment by doctors drives up imaging use and spending Health Aff (Millwood) 29 2010 2252 2259
6. D.R. Hughes, M. Bhargavan, J.H. Sunshine Imaging self-referral associated with higher costs and limited impact on duration of illness Health Aff (Millwood) 29 2010 2244 2251
7. D.C. Levin, V.M. Rao The effect of self-referral on utilization of advanced diagnostic imaging AJR Am J Roentgenol 196 2011 848 852
8. J.M. Mitchell Utilization changes following market entry by physician-owned specialty hospitals Med Care Res Rev 64 2007 395 415
9. J.M. Mitchell Utilization trends for advanced imaging procedures: evidence from individuals with private insurance coverage in California Med Care 46 2008 460 466
10. T.L. Beauchamp, J.F. Childress Principles of biomedical ethics 6th ed. 2009 Oxford University Press New York
11. R. Gillon Medical ethics: four principles plus attention to scope BMJ 309 1994 184 188
12. US House of Representatives Compilation of Patient Protection and Affordable Care Act: as amended through November 1 2010 including Patient Protection and Affordable Care Act health-related portions of the Health Care and Education Reconciliation Act of 2010 2010 US Government Printing Office Washington, DC
13. American Medical Association Council on Ethical and Judicial Affairs, current opinions with annotations 2010-2011 ed. 2010 American Medical Association Chicago
14. B. Hofmann, K.B. Lysdahl Moral principles and medical practice: the role of patient autonomy in the extensive use of radiological services J Med Ethics 34 2008 446 449
15. P. Galewitz Imaging at the doctor's: good thing or transparent ploy? USA Today http://www.usatoday.com/yourlife/health/healthcare/doctorsnurses/2010-08- 23-Imaging23-ST-N.htm August 23, 2010 Accessed January 26, 2012
16. C.D. Furtado, D.A. Aguirre, C.B. Sirlin Whole-body CT screening: spectrum of findings and recommendations in 1192 patients Radiology 237 2005 385 394
17. G.S. Gazelle, E.F. Halpern, H.S. Ryan, A.C. Tramontano Utilization of diagnostic medical imaging: comparison of radiologist referral versus same-specialty referral Radiology 245 2007 517 522
18. B.J. Hillman, C.A. Joseph, M.R. Mabry, J.H. Sunshine, S.D. Kennedy, M. Noether Frequency and costs of diagnostic imaging in office practicea comparison of self-referring and radiologist-referring physicians N Engl J Med 323 1990 1604 1608
19. B.J. Hillman, G.T. Olson, P.E. Griffith Physicians' utilization and charges for outpatient diagnostic imaging in a Medicare population JAMA 268 1992 2050 2054
20. S.E. Radecki, J.P. Steele Effect of on-site facilities on use of diagnostic radiology by non-radiologists Invest Radiol 25 1990 190 193
21. US Government Accountability Office Referrals to physician-owned imaging facilities warrant HCFA's scrutiny: report to the chairman, Subcommittee on Health, Committee on Ways and Means, House of Representatives 1994 US General Accounting Office Washington, DC
22. D.R. Hughes, J.H. Sunshine, M. Bhargavan, H. Forman Physician self-referral for imaging and the cost of chronic care for Medicare beneficiaries Med Care 49 2011 857 864
23. R.K. Kilani, B.E. Paxton, S.S. Stinnett, H.X. Barnhart, V. Bindal, M.P. Lungren Self-referral in medical imaging: a meta-analysis of the literature J Am Coll Radiol 8 2011 469 476
24. D. Hemenway, A. Killen, S.B. Cashman, C.L. Parks, W.J. Bicknell Physicians' responses to financial incentives Evidence from a for-profit ambulatory care center N Engl J Med 322 1990 1059 1063
25. A. Gawande The cost conundrum: what a Texas town can teach us about health care June 1, 2009 The New Yorker
26. S. Vedantam Doctors reap benefits by doing own tests July 31, 2009 The Washington Post
27. S. Jauhar Many doctors, many tests, no rhyme or reason March 11, 2008 The New York Times
28. M. Hutchinson, J.B. Chawluk, C. Gomez Self-referral of imaging does not imply overutilization J Neuroimaging 19 2009 80 83
29. D.C. Levin, V.M. Rao, L. Parker, A.J. Frangos, J.H. Sunshine The effect of the introduction of MR and CT angiography on the utilization of catheter angiography for peripheral arterial disease J Am Coll Radiol 4 2007 457 460
30. R. Brindis Questioning the objectivity and value of imaging articles Health Aff (Millwood) 30 2011 536
31. J. Sunshine, M. Bhargavan The practice of imaging self-referral doesn't produce much one-stop service Health Aff (Millwood) 29 2010 2237 2243
32. C. Sherry, C. Bowkley, G. Ibbott, A.D. Kaye, B. Short In through the out door: AMCLC 2009 council perceptions of self-referral J Am Coll Radiol 6 2009 832 836
33. M. Blaivas, M. Lyon Frequency of radiology self-referral in abdominal computed tomographic scans and the implied cost Am J Emerg Med 25 2007 396 399
34. A.J. Maitino, D.C. Levin, L. Parker, V.M. Rao, J.H. Sunshine Practice patterns of radiologists and nonradiologists in utilization of noninvasive diagnostic imaging among the Medicare population 1993-1999 Radiology 228 2003 795 801
35. B.I. Reiner The challenges, opportunities, and imperative of structured reporting in medical imaging J Digit Imaging 22 2009 562 568
36. J.D. Bowen, R. Kamin, J.B. Leverenz Interrater reliability and accuracy in identifying ischemic strokes using computed tomography scans in people with dementia J Am Geriatr Soc 53 2005 1743 1747
37. S. Carpenter Gastroenterologists should read CT colonography Gastrointest Endosc Clin N Am 20 2010 271 277
38. D.H. Kim, P.J. Pickhardt Radiologists should read CT colonography Gastrointest Endosc Clin N Am 20 2010 259 269
39. E.J. Potchen Measuring observer performance in chest radiology: some experiences J Am Coll Radiol 3 2006 423 432
40. E.J. Potchen, T.G. Cooper, A.E. Sierra Measuring performance in chest radiography Radiology 217 2000 456 459
41. S. Wann, A.L. Nassef, J. Jeffrey Ethical considerations in CT angiography Int J Cardiovasc Imaging 23 2007 379 388
42. J. Marron Physician attitudes toward industry: room for improvement Arch Surg 145 2010 1213
43. J.L. Ritchie, M.J. Wolk, J.W. Hirshfeld Jr Task Force 4: appropriate clinical care and issues of "self-referral." J Am Coll Cardiol 44 2004 1740 1746