Impact of filmless radiology on frequency of clinician consultations with radiologists.

OBJECTIVE The purpose of the study was to determine the impact of filmless operation on the relative frequency of in-person consultations in the radiology department between radiologists and clinicians. CONCLUSION The transition to filmless operation at the Baltimore Veterans Affairs Medical Center was associated with an 82% reduction in the in-person consultation rate for general radiography and a 44% reduction for cross-sectional imaging despite an increase in the volume of studies. The major reason for this decrease was the convenient access to current and prior images provided by the PACS (picture archiving and communication system). Radiology departments contemplating a transition to filmless operation should prepare for communication with clinicians to shift from being mostly in person to being conducted more and more through electronic forms of communication.

[1]  T. Slovis.  New horizons in pediatric radiology. , 2000, Radiology.

[2]  W. Kapoor,et al.  Abdominal computed tomography. Comparison of the usefulness of goal-directed v non-goal-directed studies. , 1983, Archives of internal medicine.

[3]  S. Baker.  The operation of a radiology consultation service in an acute care hospital. , 1982, JAMA.

[4]  D. Dohan,et al.  Magnetic resonance imaging use by primary care physicians. , 1993, The Journal of family practice.

[5]  P. Driscoll,et al.  Accuracy of detection of radiographic abnormalities by junior doctors. , 1988, Archives of emergency medicine.

[6]  E. Potchen,et al.  The radiologist as a primary care extender. , 1995, Radiology.

[7]  S. Seltzer,et al.  Radiologist as consultant: direct contact between referring clinician and radiologist before CT examination. , 1985, AJR. American journal of roentgenology.

[8]  S. Seltzer,et al.  Design and implementation of a new radiology consultation service in a teaching hospital. , 1994, AJR. American journal of roentgenology.

[9]  A. Dor,et al.  Understanding the recent growth in Medicare physician expenditures. , 1990, JAMA.

[10]  R. Brook,et al.  Practice guidelines and practicing medicine. Are they compatible? , 1989, JAMA.

[11]  E L Siegel,et al.  Effect of filmless imaging on the utilization of radiologic services. , 2000, Radiology.

[12]  Z. Rosenberg,et al.  The operation of a ward-based radiology consultation service. , 1984, Radiology.

[13]  J. Wright,et al.  Can MR imaging effectively replace diagnostic arthroscopy? , 1992, Radiology.