Evaluation of the Amount of Appropriate Medical Imaging Administration: Evidence Related to Existing Causes and Solutions

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Pourmotahari Mehrak; MAHFOOZPOUR SOAD; VAHDAT SHAGHAYEGH; MASOUDI ASL IRVAN

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Journal Paper

Paper Information

Journal: HEALTH INSURANCE Year:2022 | Volume:5 | Issue:3 Page(s): 182-191

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Information Journal Paper

Title

Evaluation of the Amount of Appropriate Medical Imaging Administration: Evidence Related to Existing Causes and Solutions

Author(s)

Pourmotahari Mehrak | MAHFOOZPOUR SOAD | VAHDAT SHAGHAYEGH | MASOUDI ASL IRVAN | Issue Writer Certificate

Keywords

Medical Imaging

Service Requirements

Necessity of Services

Iran

Abstract

Introduction: Diagnostic and therapeutic services are the biggest source of health spending and therefore have high potential for expense control. The present study aims to examine the appropriateness extent of administration of imaging services and identify the possible causes of the excessive administration of these services and provide corrective solutions in this area. Methods: The present study was implemented using a systematic review method. International databases (Elsevier, PubMed, Scopus and Web of Science) and National (SID, MagIran and IranianMedex) were searched. The Google Scholar database was also searched. International database search was performed using different combinations of Diagnostic Imaging/Radiology, Medical Imaging, CT-Scan, MRI, Rational Consumption, Appropriated, Imaging, Health Service Misuse/Medical Overuse and Services Utilization. The search was also selected at the time of 1990 and November 2021. The quality of the identified studies was evaluated using the Strobe checklist. Results: Out of 605 studies identified in the first phase of the search, 22 had the study requirements. All studies have pointed to the unnecessary part of most of the prescribed services and have mentioned various reasons (21 to 76 %). The high rate of unnecessary imaging services have been attributed to various factors, including supplementary insurance coverage, lack of learning of physicians, and patient references to various physicians. The most important corrective strategies include physicians training and creating a powerful monitoring and evaluation system. Conclusion: The unnecessary use of freight health services is on the health system, insurer organizations, health services centers and insurers. It should be noted that this is not limited to Iran, and many high-income countries whose health system has high regulatory power is also facing this problem.

Cites

Investigating factors affecting unreasonable use of costly imaging services in general hospitals of Iran

References

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APA: Copy

Pourmotahari, Mehrak, MAHFOOZPOUR, SOAD, VAHDAT, SHAGHAYEGH, & MASOUDI ASL, IRVAN. (2022). Evaluation of the Amount of Appropriate Medical Imaging Administration: Evidence Related to Existing Causes and Solutions. HEALTH INSURANCE, 5(3 ), 182-191. SID. https://sid.ir/paper/1112974/en

Vancouver: Copy

Pourmotahari Mehrak, MAHFOOZPOUR SOAD, VAHDAT SHAGHAYEGH, MASOUDI ASL IRVAN. Evaluation of the Amount of Appropriate Medical Imaging Administration: Evidence Related to Existing Causes and Solutions. HEALTH INSURANCE[Internet]. 2022;5(3 ):182-191. Available from: https://sid.ir/paper/1112974/en

IEEE: Copy

Mehrak Pourmotahari, SOAD MAHFOOZPOUR, SHAGHAYEGH VAHDAT, and IRVAN MASOUDI ASL, “Evaluation of the Amount of Appropriate Medical Imaging Administration: Evidence Related to Existing Causes and Solutions,” HEALTH INSURANCE, vol. 5, no. 3 , pp. 182–191, 2022, [Online]. Available: https://sid.ir/paper/1112974/en

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