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相關文獻
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題名 | Effect of Filmless Imaging on Utilization of Radiologic Services with a Two-Stage, Hospital-Wide Implementation of a Picture Archiving and Communication System: Initial Experience of a Fee-for-Service Model=全院無片化環境對臨床醫師使用醫學影像服務之影響 |
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作者 | 郭禹廷; 朱惠珍; 謝賜吉; 蔣宜璋; 黃尚志; 張肇松; 劉金昌; 賴春生; | 書刊名 | The Kaohsiung Journal of Medical Sciences |
卷期 | 19:2 2003.02[民92.02] |
頁次 | 頁62-67 |
分類號 | 410.1644 |
關鍵詞 | 影像儲存傳輸系統; 無片化; Picture archiving and communication system; PACS; Filmless radiology; |
語文 | 英文(English) |
中文摘要 | 本研究以儲存影像之正確性及各項檢查報告完成的時間評估影像儲存傳輸系統之效能及呈現其所提供醫學影像服務之狀況。在此一前提下探討一個達成全院無片化的中型醫院,在現行健保制度下,是否因醫師閱片習慣的改變而影響其利用放射線影像檢查的意願。結果發現此系統在隨機抽樣的檢查樣本中並無遺失任何影像資料,僅有一份電腦斷層攝影報告無法被正確調閱;在上班時間所有檢查之報告完成時間的中位數均小於 2 小時。而經相關係數分析,全院無片化後,全院門診、住院和急診之患者總數與放射科檢查之患者人次仍呈有統計學意義的正相關,因此雖然此一資訊系統的導入改變了醫師的醫療習慣,但對醫療影像服務的使用並無負面的影響。 |
英文摘要 | A medium-sized general hospital using a fee-for-service model implemented a hospital-wide picture archiving and communication system (PACS) in two stages. This study evaluated the reporting time with filmless operation and the effect of filmless imaging on referring physicians’ use of the radiologic service before and after completion of the second stage of PACS implementation. The relationship between the total number of hospital patients and the number of radiologic department patients was also evaluated. All sample images were retrieved from the PACS. All corresponding reports except for one for a computerized tomography study were available. The median reporting time for different studies performed during working hours was less than 2 hours. There was a significantly positive and linear relationship (p < 0.01) between the total number of hospital patients and the number of radiologic department patients after hospital-wide implementation of PACS. We conclude that the fee-for-service model had no negative impact on referring physicians’ use of radiologic services in a filmless hospital. |
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