摘要
近年来,国家高度关注影像学检查的合理应用问题。2020年,我国提出了基于循证医学的“影像学检查临床适用性评价”(EB‑MICA^(■))这一理念,初步开展了不同影像学检查价值分析工作。系列工作成果应用于检查的申请阶段,已在减少患者支出、节约医保资金、提高医疗效率等方面发挥了一定作用,为医疗政策的制定提供了重要客观依据,是医疗模式向“基于价值的患者服务”转变的重要契机。围绕耳鸣、听力损失和(或)眩晕、IgG4相关性疾病患者诊疗中影像学检查的合理选择问题,相关专家组组织撰写并发布三部影像学检查临床适用性评价共识,作为影像学检查合理应用的参考依据。此项工作将持续促进医疗资源合理配置和使用,提高临床决策质量。
The appropriate application of medical imaging is a major concern of our nation in recent years.In the year of 2020,we proposed the concept of Evidence‑based Medical Imaging Clinical Appropriateness(EB‑MICA^(■)).We preliminary evaluated the value of different kinds of medical imaging in clinical practice.A series of work had be applied in the stage of medical imaging application.It has decreased the cost of patients and medical insurance and improved the medical efficiency,providing key clues for medical policy makers objectively.It is also an important opportunity for the transformation of medical model towards the"value‑based model".In the concern of appropriate medical imaging for patients with tinnitus,hearing loss and(or)vertigo,IgG4‑related disease in clinical practice,experts in related academic group wrote and published three EB‑MICA consensuses as reference.This work keeps promoting rational utilization of medical resource and improving the quality of clinical decision‑making.
作者
吕晗
王振常
Lyu Han;Wang Zhenchang(Department of Radiology,Beijing Friendship Hospital,Capital Medical University,Beijing 100050,China)
出处
《中华医学杂志》
CAS
CSCD
北大核心
2022年第27期2063-2066,共4页
National Medical Journal of China
基金
北京市医院管理中心临床医学发展专项经费(ZYLX202101)
北京市卫生健康委员会‑北京市重点专科项目(2021‑135)。
关键词
体层摄影术
X线计算机
影像医学
循证医学
质量评价
医疗资源
医疗政策
Tomography,X‑ray computed
Medical imaging
Evidence‑based medicine
Quality evaluation
Medical resource
Medical policy
