Temporal Trends in the Utilization of Echocardiography in Ontario, 2001 to 2009

被引:44
作者
Blecker, Saul [1 ,2 ]
Bhatia, R. Sacha [3 ,4 ,5 ]
You, John J. [5 ,6 ,7 ]
Lee, Douglas S. [5 ,8 ,9 ]
Alter, David A. [5 ,8 ,10 ,11 ]
Wang, Julie T. [5 ]
Wong, Hannah J. [4 ,12 ,13 ,14 ]
Tu, Jack V. [5 ,8 ,15 ]
机构
[1] NYU, Sch Med, Dept Populat Hlth, New York, NY USA
[2] NYU, Sch Med, Dept Med, New York, NY USA
[3] Massachusetts Gen Hosp, Div Cardiol, Boston, MA 02114 USA
[4] Harvard Univ, Sch Med, Boston, MA USA
[5] Inst Clin Evaluat Sci, Toronto, ON M4N 3M5, Canada
[6] McMaster Univ, Dept Med, Hamilton, ON, Canada
[7] McMaster Univ, Dept Clin Epidemiol & Biostat, Hamilton, ON, Canada
[8] Univ Toronto, Dept Med, Toronto, ON, Canada
[9] Toronto Gen Hosp, Univ Hlth Network, Div Cardiol, Toronto, ON, Canada
[10] Toronto Rehabil Inst, Cardiac Rehabil & Secondary Prevent Program, Toronto, ON, Canada
[11] St Michaels Hosp, Li Ka Shing Knowledge Inst, Toronto, ON M5B 1W8, Canada
[12] Massachusetts Gen Hosp, Inst Technol Assessment, Boston, MA 02114 USA
[13] Massachusetts Gen Hosp, Dept Imaging, Boston, MA 02114 USA
[14] Univ Hlth Network, Ctr Innovat Complex Care, Toronto, ON, Canada
[15] Sunnybrook Schulich Heart Ctr, Toronto, ON, Canada
基金
加拿大健康研究院;
关键词
cardiovascular imaging; echocardiography; resource utilization; APPROPRIATENESS USE CRITERIA; TRANSTHORACIC ECHOCARDIOGRAPHY; HEART-FAILURE; CARE; MEDICARE; RATES; CANADA;
D O I
10.1016/j.jcmg.2012.10.026
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The purpose of this study was to examine utilization and growth in echocardiography among the general population of Ontario between 2001 and 2009. The age- and sex-adjusted rates of echocardiography grew from 39.1 per 1,000 persons in 2001 to 59.9 per 1,000 persons in 2009, for an annual rate of increase of 5.5%. Repeat echocardiograms increased at a rate of 10.6% per year and accounted for 25.3% of all procedures in 2009 as compared to 18.5% in 2002. While significant increases in echocardiography utilization were observed, opportunities may exist to improve the clinical utility of the echocardiograms performed in Ontario.
引用
收藏
页码:515 / 522
页数:8
相关论文
共 29 条
[1]   The lifetime distribution of health care costs [J].
Alemayehu, B ;
Warner, KE .
HEALTH SERVICES RESEARCH, 2004, 39 (03) :627-642
[2]  
Alter D.PR., 2004, Non-invasive cardiac testing in Ontario
[3]   Proliferation of cardiac technology in Canada - A challenge to the sustainability of Medicare [J].
Alter, DA ;
Stukel, TA ;
Newman, A .
CIRCULATION, 2006, 113 (03) :380-387
[4]  
[Anonymous], REP C AL INC MED
[5]   Use of a Web-Based Application of the American College of Cardiology Foundation/American Society of Echocardiography Appropriateness Use Criteria for Transthoracic Echocardiography: A Pilot Study [J].
Bhave, Nicole M. ;
Mansour, Ibrahim N. ;
Veronesi, Federico ;
Razi, Rabia R. ;
Lang, Roberto M. ;
Ward, R. Parker .
JOURNAL OF THE AMERICAN SOCIETY OF ECHOCARDIOGRAPHY, 2011, 24 (03) :271-276
[6]   2009 ASNC keynote lecture: Measuring cost, cost-effectiveness, and quality in cardiovascular imaging [J].
Bonow, Robert O. .
JOURNAL OF NUCLEAR CARDIOLOGY, 2010, 17 (03) :362-369
[7]  
Centers for Disease Control, INT CLASS DIS 9 CM
[8]  
Chan B, 1996, CAN J CARDIOL, V12, P237
[9]   CT, MRI and Ultrasound Scanning Rates: Evaluation of Cancer Diagnosis, Staging and Surveillance in Ontario [J].
Coburn, Natalie ;
Przybysz, Raymond ;
Barbera, Lisa ;
Hodgson, David ;
Sharir, Sharon ;
Laupacis, Andreas ;
Law, Calvin .
JOURNAL OF SURGICAL ONCOLOGY, 2008, 98 (07) :490-499
[10]  
Douglas Pamela S, 2007, J Am Coll Cardiol, V50, P187, DOI 10.1016/j.jacc.2007.05.003