COVID-19’s Crushing Effects on Medical Practices, Some of Which Might Not Survive

Rubin, Rita

doi:10.1001/jama.2020.11254

Cited by 127 publications

(125 citation statements)

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“…The availability of personal protective equipment (PPE) and other measures to limit the transmission potential of the infection have created challenges for all aspects of health care. The COVID-19 pandemic has also created an economic crisis alongside a health care crisis, the magnitude of which is not yet fully understood [ 4 ]. The Coronavirus Aid, Relief, and Economic Security Act and the Paycheck Protection Program and Health Care Enhancement Act together provide $175 billion in emergency funding for hospitals and other health care organizations [ 5 , 6 ].…”

Section: Introductionmentioning

confidence: 99%

Initial Impact of COVID-19 on Radiology Practices: An ACR/RBMA Survey

Malhotra

Fleishon

Duszak

et al. 2020

Journal of the American College of Radiology

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Purpose The coronavirus disease 2019 (COVID-19) pandemic affected radiology practices in many ways. The aim of this survey was to estimate declines in imaging volumes and financial impact across different practice settings during April 2020. Methods The survey, comprising 48 questions, was conducted among members of the ACR and the Radiology Business Management Association during May 2020. Survey questions focused on practice demographics, volumes, financials, personnel and staff adjustments, and anticipation of recovery. Results During April 2020, nearly all radiology practices reported substantial (56.4%-63.7%) declines in imaging volumes, with outpatient imaging volumes most severely affected. Mean gross charges declined by 50.1% to 54.8% and collections declined by 46.4% to 53.9%. Percentage reductions did not correlate with practice size. The majority of respondents believed that volumes would recover but not entirely (62%-88%) and anticipated a short-term recovery, with a surge likely in the short term due to postponement of elective imaging (52%-64%). About 16% of respondents reported that radiologists in their practices tested positive for COVID-19. More than half (52.3%) reported that availability of personal protective equipment had become an issue or was inadequate. A majority (62.3%) reported that their practices had existing remote reading or teleradiology capabilities in place before the pandemic, and 22.3% developed such capabilities in response to the pandemic. Conclusions Radiology practices across different settings experienced substantial declines in imaging volumes and collections during the initial wave of the COVID-19 pandemic in April 2020. Most are actively engaged in both short- and long-term operational adjustments.

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Section: Introductionmentioning

confidence: 99%

Initial Impact of COVID-19 on Radiology Practices: An ACR/RBMA Survey

Malhotra

Fleishon

Duszak

et al. 2020

Journal of the American College of Radiology

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“…The pandemic has had numerous indirect health effects as well. Concerns about spreading the infection has reduced outpatient visits with health care providers ( Rubin, 2020 ). Even without symptoms, patients are sometimes required to demonstrate negative test results for COVID-19 before they are allowed undergo certain medical/surgical procedures.…”

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confidence: 99%

Negative impact of the COVID-19 pandemic on the timely diagnosis of tick-borne infections

Wormser

Jacobson

Shanker

2021

Diagnostic Microbiology and Infectious Disease

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“…The COVID-19 pandemic has already changed the practice of medicine in ways no one ever imagined. 12 I agree with my esteemed opponent that not every relevant new technology should or could be included in our graduate curriculum. However, AI is not yet another technology which may or may not exist in 10 years.…”

Section: Opening Statementmentioning

confidence: 75%

Artificial intelligence should be part of medical physics graduate program curriculum

Goetsch

Cai³

2021

Medical Physics

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Recent advances in artificial intelligence (AI) have transformed it from an indispensable tool in research and development into a mainstream technology that is fundamentally altering how we work and live. AI has already been incorporated into some common medical physics tools used to support key tasks such as diagnosis, treatment planning, and quality assurance. A paradigm shift in clinical practice in which AI is used more widely is likely to occur in the near future. Some therefore advocate incorporating AI into the medical physics graduate program curriculum to better adapt workers' skill sets to this new paradigm. However, others have reservations about such curricular adaptation. This is the premise debated in this month's Point/Counterpoint.

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COVID-19’s Crushing Effects on Medical Practices, Some of Which Might Not Survive

Cited by 127 publications

References 0 publications

Initial Impact of COVID-19 on Radiology Practices: An ACR/RBMA Survey

Initial Impact of COVID-19 on Radiology Practices: An ACR/RBMA Survey

Negative impact of the COVID-19 pandemic on the timely diagnosis of tick-borne infections

Artificial intelligence should be part of medical physics graduate program curriculum

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