Quote:
Originally Posted by WilliamTheIrish
Monti,
I totally agree with you about the overuse of CT. Curious about your thoughts on that in the Canadian health system.
In US health systems, it’s (IMO) overused because of our “business model”. The more scans, the more revenue generated, the greater profit by individual health care systems. And as you know, CT/MRI generate a ton of revenue vs US. (At least in the systems in which I operate).
How does it work in your world?
|
It’s getting overused a little because it’s just easy and quick , ER are packed new doctors don’t have the same clinical skills as the older ones and liability is becoming an issue up here more than ever or at least the fear of suits .
Hospitals lose money on CT up here because they don’t get a technical fee whether they are out patient or inpatient. Hospitals get a specific amount of funding per bed , the more tests you order you kinda hurt your bottom line , they make more money with empty beds.
The ordering of elective diagnostic exams on inpatient costs the hospitals a lot of money , I don’t think a patient in hospital with a broken toe ( extreme example) needs thyroid/LFTs /renal function work ups etc.
Ordering tests is just easy but it’s going to destroy our system treating patients is getting way more expensive and the funding hasn’t adjusted.
A DR asked me to do a scrotal ultrasound on someone who says he doesn’t have testes anymore because she didn’t ****ing believe him and she didn’t want to check herself , she wanted to try to figure out why he was taking testosterone.He was in hospital for a ****ing spinal cord injury ffs.