Imaging Self-Referral Associated With Higher Costs and Limited Impact on Duration of Illness
Hughes, Danny R
Sunshine, Jonathan H
Health affairs (Project Hope) 2010 Dec; 29(12): 2244-51
Self-referral for imaging services occurs when a physician sends patients to receive an imaging procedure from a device that the physician owns or leases. Advocates argue that this shortens the duration of illness and lowers costs. For twenty common combinations of medical conditions and types of imaging, we evaluated the association between self-referral, duration of illness episode, and three measures of cost. Self-referral was associated with significantly and substantially higher episode costs for most of the combinations of medical conditions and imaging that we studied. There was no decrease in the length of illness, except when doctors self-referred patients to receive x-rays for a few common conditions. These findings indicate that except for x-rays, constraining the self-referral of imaging may be appropriate.
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Hughes, Danny R; Sunshine, Jonathan H; Bhargavan, Mythreyi; Forman, Howard (2011-09)As the cost of both chronic care and diagnostic imaging continue to rise, it is important to consider methods of cost containment in these areas. Therefore, it seems important to study the relationship between self-referral ...
Sunshine, Jonathan; Bhargavan, Mythreyi (2010-12)Imaging as a result of self-referral-when a physician refers patients for imaging tests at a facility owned or leased by the same physician-is widespread. The practice has come under much scrutiny because it is associated ...