Commoditization in Radiology: Threat or Opportunity?

Krestin, Gabriël P.

doi:10.1148/radiol.10100144

Cited by 24 publications

(5 citation statements)

References 13 publications

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“…These free-text comments included apprehension that working from home deleteriously impacts the educational mission, the hospital-wide perception of the radiology department, and financial support from the institution. Historically, these concerns have been primarily discussed in the literature mostly in terms of contract work with an external teleradiology service provider, in particular reinforcing the notion that radiologists may be a commodity that are easily replaceable [ 15 – 19 ]. However, with the pandemic and the rapid change to working partially off-site for many practices (as opposed to contracting with external teleradiology providers), further discussion has included implications of hybrid practices that will undoubtedly influence the use of off-site clinical rotations in pediatric radiology practices in the future [ 20 – 23 ].…”

Section: Discussionmentioning

confidence: 99%

Working from home during the COVID-19 pandemic: surveys of the Society for Pediatric Radiology and the Society of Chiefs of Radiology at Children’s Hospitals

Seghers

Sher

et al. 2022

Pediatr Radiol

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Background Due to the COVID-19 pandemic, some pediatric radiologists have shifted to working from home; the long-term ramifications for pediatric radiologists and departments have not yet been defined. Objective To characterize experiences of working from home associated with the COVID-19 pandemic and guide expectations after the pandemic is controlled, via separate surveys of Society for Pediatric Radiology (SPR) and Society of Chiefs of Radiology at Children’s Hospitals (SCORCH) members. Materials and methods Two separate surveys were conducted. In the first, SPR members were surveyed Jan. 11 through Feb. 8, 2021. The response rate was 17.0% (255 of 1,501). Survey questions included demographics, information on the ability to work from home and subjective experiences ranked on a scale of 0 to 10. The survey enabled segregation and comparison of responses between those with and without home PACS. In the second survey, SCORCH members were surveyed Dec. 8, 2020, through Jan. 8, 2021. The response rate was 51.5% (51/99). Survey questions included the logistics of working from home, technical specifications and the expectations on clinical duties performed from home. The Wilcoxon rank test was used to determine statistical significance of compared variables between respondents with and without home PACS in SPR members, and expectations between SPR and SCORCH members. Descriptive statistics summarized demographic questions and free text responses. Results The majority of member respondents (81.2%, 207/255) had a home PACS and most departments provided home PACS to faculty (94.1%, 48/51). Overall, radiologists who could work from home were satisfied with their ability to work from home (mean rating: 8.3/10) and were significantly more satisfied than predicted by those without home PACS (5.9/10, P <0.0001). Respondents overwhelmingly indicated they were less able to teach trainees (mean rating: 2.7/10) and had decreased emotional engagement (mean rating: 4.4/10), but had improved research productivity and cognitive ability for research when working from home (mean rating for both: 5.3/10). Regarding the expectations of the ability to work from home after no longer needing to address the pandemic, department chairs generally favored fewer rotations from home, with 97.9% (47/48) indicating working from home should be 60% or fewer assignments, compared with 84.1% (164/195) of individual radiologists ( P =0.071). Conclusions Due to the COVID-19 pandemic, there has been a shift to working from home using PACS. Results of these SPR and SCORCH member surveys can help inform future decisions regarding pediatric radiologists working from home once the pandemic has been controlled. Supplementary Information The online version contains supplementary material available at 10.1007/s00247-022-05299-6.

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Section: Discussionmentioning

confidence: 99%

Working from home during the COVID-19 pandemic: surveys of the Society for Pediatric Radiology and the Society of Chiefs of Radiology at Children’s Hospitals

Seghers

Sher

et al. 2022

Pediatr Radiol

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“…[8][9][10][11] In any given industry, a commodity is a product or good that is not differentiated on quality, but trades primarily on price and quantity. [8][9][10][11] In any given industry, a commodity is a product or good that is not differentiated on quality, but trades primarily on price and quantity.…”

Section: The Business Of Medicinementioning

confidence: 99%

An introduction to cost analysis

Camponovo¹

2015

Journal of the American Academy of Physician Assistants

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“…Today, some claim that our discipline is being commoditized by the growth of teleradiology and picture archiving and communication systems, which have enabled the remote inter pretation of images by an invisible radiologist isolated from patients ( 20,37 ). Our efforts to eliminate variation in image acquisition and interpretation have improved the overall quality of imaging; however, a by-product has been the threat of the commoditization of imaging that can only be differentiated by price ( 37 ). However, this is not completely accurate because cost is not the only factor differentiating imaging services, such as the prescribing of examinations and the interpretation of images.…”

Section: Perspectives: Invisible Radiologistmentioning

confidence: 99%