 |
| Research article summary (published 30 May 2009): |
The appropriateness of imaging: a comprehensive conceptual framework.
Full Abstract
This review seeks to clarify and explicate an elusive concept: the appropriateness of diagnostic imaging. To ensure a common basis for discussion, several key components are articulated and defined. These include the diagnostic imaging procedure (DIP) itself, the subject (a patient), and the setting (a clinical scenario) in which the DIP is being considered. A review of the literature shows that appropriateness is a logical extension of empiric research, which has revealed substantial variation in the type and intensity of health services delivered to otherwise similar populations and communities in the United States. Against this background, the appropriate rate of a service in a population is transformed into appropriateness for an individual patient, which, when defined in terms of expected net health outcome, provides a conceptual link with the denominator of cost-effectiveness analysis. The complementary roles of clinical trials, technology assessment, decision-analytic modeling, and consensus methods in estimating appropriateness are compared and contrasted.
Author information
Author/s: Sistrom, Christopher L (CL);
Affiliation: Department of Radiology, University of Florida, PO Box 100374, Gainesville, FL 32610, USA. sistrc(-atsign-)radiology.ufl.edu
Journal and publication information
Publication Type: Journal Article; Review
Journal: Radiology (Radiology), published in United States. (Language: eng)
Reference: 2009-Jun; vol 251 (issue 3) : pp 637-49
Dates: Created 2009/05/28; Completed 2009/06/26;
PMID: 19474372, status: MEDLINE (last retrieval date: 6/26/2009, IMS Date: 26 Jun 2009 00:00:00)
Sourced from the National Library of Medicine. Abstract text and other information may be subject to copyright.
External Links for this article
(including full text providers, if available):
Click Electronic Full-text Provider Links to see options for finding the electronic full text links to this article. Note there may be a subscription or fee required for access to the full text. See our FAQ for information on finding FREE full text articles.
This article may also be located in paper journal collections available in many libraries. Use the Journal and Publication Information above to find the full article.
MeSH headings (categories)
This article was linked to the MESH Headings shown below.
Related articles
This article has not been indexed for related articles as yet, however you can still use the live related article search links below.
See a large map of 100+ related articles.