Journal article
A Comparison of In-House and Regionalized Computerized Tomography Scanning: Clinical Impact and Cost
Health services research, Vol.25(1), pp.177-196
04/01/1990
PMCID: PMC1065620
PMID: 2109740
Abstract
Over a 2-year period, computerized tomography (CT) scans were obtained at an urban 400-bed Department of Veterans Affairs medical center (VAMC). An analysis was conducted to determine whether the site of CT scanning affected clinical outcomes. Diagnostic procedures, surgical results, mortality, and length of stay were compared using one-way analysis of variance. Significant differences were found only for conventional tomography and CT utilization rates. Although conventional tomography declined across the period, CT utilization increased, exceeding national trends. The costs of CT scanning also were examined. During a regionalized period, the hospital paid a fixed fee of $519 per scan. Estimated costs of in-house scanning were $285 during a low-efficiency period and 141 during a high-efficiency period. Although regionalized scanning did not compromise the quality of care, it was more costly.
Details
- Title: Subtitle
- A Comparison of In-House and Regionalized Computerized Tomography Scanning: Clinical Impact and Cost
- Creators
- Anne ElixhauserDean RekerKathleen GillespieJames FletcherFredric Wolinsky
- Resource Type
- Journal article
- Publication Details
- Health services research, Vol.25(1), pp.177-196
- Publisher
- Blackwell Publishing Ltd
- PMID
- 2109740
- PMCID
- PMC1065620
- ISSN
- 0017-9124
- eISSN
- 1475-6773
- Language
- English
- Date published
- 04/01/1990
- Academic Unit
- Health Management and Policy
- Record Identifier
- 9984364429502771
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