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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
6
|
pubmed:dateCreated |
1987-7-10
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pubmed:abstractText |
Family physicians around the world are increasing their use of diagnostic x-ray examinations at a time of controversy about radiologic overutilization. To explore the role of accessibility in utilization, a study was undertaken testing the hypothesis that on-site radiology facilities are an important determinant of usage. Using a historical cohort design with chart review, rates in selected groups of patients were compared between two teaching family medicine centers, one with an on-site radiology service and one without. After controlling for confounding variables, patients with chest-related diagnoses were 2.4 times more likely (P less than .05) to have a chest film in the presence of on-site facilities. Rates for the off-site examination, upper gastrointestinal series, in patients with abdominal-related diagnoses were similar (relative risk 1.34, P greater than .5) at both centers. Higher usage brought no short-term clinical benefit. It was also observed that residents overinterpreted one quarter of chest films when compared with radiologists' reports.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
AIM
|
pubmed:status |
MEDLINE
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pubmed:month |
Jun
|
pubmed:issn |
0094-3509
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pubmed:author | |
pubmed:issnType |
Print
|
pubmed:volume |
24
|
pubmed:owner |
NLM
|
pubmed:authorsComplete |
Y
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pubmed:pagination |
619-23
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:3585266-Community Health Centers,
pubmed-meshheading:3585266-Digestive System,
pubmed-meshheading:3585266-Family Practice,
pubmed-meshheading:3585266-Female,
pubmed-meshheading:3585266-Health Services Accessibility,
pubmed-meshheading:3585266-Humans,
pubmed-meshheading:3585266-Male,
pubmed-meshheading:3585266-Physicians' Offices,
pubmed-meshheading:3585266-Radiography,
pubmed-meshheading:3585266-Radiography, Thoracic,
pubmed-meshheading:3585266-Radiology
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pubmed:year |
1987
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pubmed:articleTitle |
The effect of an on-site radiology facility on radiologic utilization in family practice.
|
pubmed:publicationType |
Journal Article,
Research Support, Non-U.S. Gov't
|