Exploring the Benefits of Magnetic Resonance Imaging Reporting by Radiographers: A UK Perspective

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• 作者：Paul Lockwood ; MSc ; FHEA ; PGCL&T(HE) ; BSc(Hons) ; BA(Hons) ; ^{paul.lockwood@canterbury.ac.uk" class="auth_mail" title="E-mail the corresponding author}
• 关键词：Magnetic resonance imaging ; reporting radiographer ; role extension ; advanced practice ; economic evaluation
• 刊名：Journal of Medical Imaging and Radiation Sciences
• 出版年：2016
• 出版时间：June 2016
• 年：2016
• 卷：47
• 期：2
• 页码：194-203
• 全文大小：1092 K

文摘

The United Kingdom (UK) National Health Service (NHS) Imaging and Radiodiagnostic activity 2013/14 report estimates the year-on-year increase of magnetic resonance imaging (MRI) examinations to be 12.3%, with the designated radiologist workforce disproportionate to the increase in demand.

Objective

To review the economics, risk, and feasibility of MRI reporting by radiographers.

Design

A PICO (the four major components of a clinical or research question: patient [population], intervention, comparison, and outcome) framework using example patient demand from audit data of noncomplex MRI examination attendance (n = 3,525) over 12 months was used to review costs, potential outcome risks (diagnostic thresholds), and feasibility (workforce capacity) of both interventions.

Conclusions

The benefits of introducing a skills mix reporting service model to the benefit of service delivery in the UK has shown a potential £145,230–£60,524 per annum cost saving using a generic acute workload model. Research into recorded discrepancy/error audit data for potential detrimental risk to patient outcomes identified a paucity of evidence and recommends that further research is needed.