Outsourcing Off-Hour Imaging Services

Sherry, Cynthia S.

doi:10.1016/j.jacr.2009.11.008

Cited by 10 publications

(7 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Full text for 3 articles could not be obtained from the British Library and were therefore excluded. Seventy-eight articles were excluded with reasons: did not report the outcome measures of interest ; did not report objective measure of patients' waiting times, is an opinion piece, an editorial or theoretical paper [69][70][71][72][73][74][75][76][77][78][79][80][81][82][83]; did not report any intervention [84][85][86][87][88][89] and was withdrawn from publication [90]. Sixty-three articles (57 studies) met the inclusion criteria.…”

Section: Resultsmentioning

confidence: 99%

The Effectiveness of Service Delivery Initiatives at Improving Patients’ Waiting Times in Clinical Radiology Departments: A Systematic Review

et al. 2014

View full text Add to dashboard Cite

We reviewed the literature for the impact of service delivery initiatives (SDIs) on patients' waiting times within radiology departments. We searched MEDLINE, EMBASE, CINAHL, INSPEC and The Cochrane Library for relevant articles published between 1995 and February, 2013. The Cochrane EPOC risk of bias tool was used to assess the risk of bias on studies that met specified design criteria. Fifty-seven studies met the inclusion criteria. The types of SDI implemented included extended scope practice (ESP, three studies), quality management (12 studies), productivity-enhancing technologies (PETs, 29 studies), multiple interventions (11 studies), outsourcing and pay-for-performance (one study each). The uncontrolled pre-and post-intervention and the postintervention designs were used in 54 (95 %) of the studies. The reporting quality was poor: many of the studies did not test and/or report the statistical significance of their results. The studies were highly heterogeneous, therefore metaanalysis was inappropriate. The following type of SDIs showed promising results: extended scope practice; quality management methodologies including Six Sigma, Lean methodology, and continuous quality improvement; productivityenhancing technologies including speech recognition reporting, teleradiology and computerised physician order entry systems. We have suggested improved study design and the mapping of the definitions of patient waiting times in radiology to generic timelines as a starting point for moving towards a situation where it becomes less restrictive to compare and/or pool the results of future studies in a meta-analysis.

show abstract

Section: Resultsmentioning

confidence: 99%

The Effectiveness of Service Delivery Initiatives at Improving Patients’ Waiting Times in Clinical Radiology Departments: A Systematic Review

et al. 2014

View full text Add to dashboard Cite

show abstract

“…36,[38][39][40][41][42][43][44][45][46][47] Nonetheless, it is clear that it has a significant role under the proper conditions, especially in situations where local radiology is either absent or inadequate and the quality of the remote provider is assured according to explicit criteria for qualifications and certification. 36 Some have suggested that patient satisfaction may be an incentive in some practices as a means for expediting service.…”

Section: Teleradiologymentioning

confidence: 99%

The Empirical Foundations of Teleradiology and Related Applications: A Review of the Evidence

Bashshur

Krupiński

Thrall

et al. 2016

Telemedicine and e-Health

View full text Add to dashboard Cite

Introduction: Radiology was founded on a technological discovery by Wilhelm Roentgen in 1895. Teleradiology also had its roots in technology dating back to 1947 with the successful transmission of radiographic images through telephone lines. Diagnostic radiology has become the eye of medicine in terms of diagnosing and treating injury and disease. This article documents the empirical foundations of teleradiology. Methods: A selective review of the credible literature during the past decade (2005-2015) was conducted, using robust research design and adequate sample size as criteria for inclusion. Findings: The evidence regarding feasibility of teleradiology and related information technology applications has been well documented for several decades. The majority of studies focused on intermediate outcomes, as indicated by comparability between teleradiology and conventional radiology. A consistent trend of concordance between the two modalities was observed in terms of diagnostic accuracy and reliability. Additional benefits include reductions in patient transfer, rehospitalization, and length of stay.

show abstract

“…A stark example of the drawbacks of outsourcing was provided several years ago by Cynthia Sherry, MD, who was at that time the head of a large community hospital radiology practice in Dallas, Tex (38). In addition to their main hospital, the group had contracts to cover several other hospitals in the area.…”

Section: Two Storiesmentioning

confidence: 99%

The 2014 RSNA Annual Oration in Diagnostic Radiology: Transitioning from Volume-based to Value-based Practice—A Meaningful Goal for All Radiologists or a Meaningless Platitude?

Levin¹

2015

Radiology

View full text Add to dashboard Cite

Outsourcing Off-Hour Imaging Services

Cited by 10 publications

References 0 publications

The Effectiveness of Service Delivery Initiatives at Improving Patients’ Waiting Times in Clinical Radiology Departments: A Systematic Review

The Effectiveness of Service Delivery Initiatives at Improving Patients’ Waiting Times in Clinical Radiology Departments: A Systematic Review

The Empirical Foundations of Teleradiology and Related Applications: A Review of the Evidence

The 2014 RSNA Annual Oration in Diagnostic Radiology: Transitioning from Volume-based to Value-based Practice—A Meaningful Goal for All Radiologists or a Meaningless Platitude?

Contact Info

Product

Resources

About