Choosing Wisely: Highest-Cost Tests in Outpatient Neurology

被引：30

作者：

Burke, James F. ^{[1
,2
]}

Skolarus, Lesli E. ^{[2
]}

Callaghan, Brian C. ^{[3
]}

Kerber, Kevin A. ^{[3
]}

机构：

[1] VA Healthcare Syst, VA Ctr Clin Management & Res, Dept Vet Affairs, Ann Arbor, MI USA

[2] Univ Michigan, Stroke Program, Ann Arbor, MI 48109 USA

[3] Univ Michigan, Dept Neurol, Ann Arbor, MI USA

来源：

ANNALS OF NEUROLOGY | 2013年 / 73卷 / 05期

关键词：

TOP; 5; LISTS; HEALTH-CARE; RESPONSIBILITY;

D O I：

10.1002/ana.23865

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Identifying the tests/procedures ordered by neurologists that contribute most to health care expenditures is a critical step in the process of creating the neurology top 5 list for the Choosing Wisely initiative. Using data from the 2007-2010 National Ambulatory Care Medical Survey, we found that $13.3 billion (95% confidence interval=$10.1-$16.5 billion) was spent on tests ordered at neurologist visits. The tests/procedures with the highest expenditures were magnetic resonance imaging (MRI; 51% of total expenditures; $7.5 billion), electromyography (EMG; 20% of expenditures; $2.6 billion), and electroencephalography (EEG; 8% of expenditures; $1.1 billion). MRI, EMG, and EEG should receive close scrutiny in the development of the neurology top 5 list.

引用

页码：679 / 683

页数：5

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