Extension of academic pediatric radiology to the community setting: experience in two sites

作     者：Ecklund, K Share, JC 

作者机构：Childrens Hosp Dept Radiol Boston MA 02115 USA Harvard Univ Sch Med Boston MA 02115 USA 

出 版 物：《PEDIATRIC RADIOLOGY》 (儿科放射学)

年 卷 期：2000年第30卷第1期

页      面：3-6页

核心收录：

学科分类：1002[医学-临床医学] 100202[医学-儿科学] 1009[医学-特种医学] 10[医学] 

主　　题：儿童保健服务/统计学和数值数据 医院 社区 门诊部 医院 儿科学/统计学和数值数据 放射学/统计学和数值数据 放射科 医院 专业 医学 儿童 人类 

摘      要：Background. Children are better served by radiologists and technical personnel trained in the care of pediatric patients. However, a variety of obstacles may limit the access of children to dedicated pediatric imaging facilities. Objective. We designed and implemented two models for providing community-based imaging by academic pediatric radiologists. Materials and methods. The first site was an outpatient clinic staffed by physicians from the university-affiliated children s hospital. Imaging services included radiography, fluoroscopy, and ultrasound. The second site was a full-service community hospital radiology department staffed by a group practice, with pediatric imaging covered by the children s hospital radiologists. Facility, equipment, and protocol modifications were required to maintain quality standards. Success of these models was determined by volume statistics, referring physician/patient satisfaction surveys, and quality-assurance (QA) programs. Results. The outpatient satellite had a 48 % increase in total examinations from the first year to the second year and 87 % the third year. Pediatric examinations in the community hospital increased over 1000 % the first 7 months. Referring physicians reported increased diagnostic information and patient satisfaction compared to previous service. QA efforts revealed improved image quality when pediatric radiologists were present, but some continuing difficulties off-hours. Conclusion. We successfully implemented pediatric imaging programs in previously underserved communities. This resulted in increased pediatric radiologist supervision and interpretation of examinations performed on children and improved referring physician and patient satisfaction.