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Molecular Musings

Too Many Tests?

Published March 12, 2008 12:41 PM by Joyce Ward
 

Yesterday the New York Times ran an essay called "Many Doctors, Many Tests, No Rhyme or Reason" by  Sandeep Jauhar M.D. that outlined a specific case, where the author felt that the expert consultations and tests spiraled out of control. Because the article did not give the final diagnosis or any reason that all the specialists were consulted or tests performed. It was a little hard to know if indeed some of the care was excessive.

Later in the article, the author speculated that the growth in medical imaging has been influenced not only by the ability to get better diagnostic information and the fears of litigation but to a large extent by financial incentives.

To make his case, he gave an example of a cardiologist he visited who offered nuclear medicine gamma imaging in his office. The quotes from the physician seemed to show that he ordered un-necessary nuclear medicine tests when needed to make sure that he was able to break even on the costs of the machine rental, the technologist salary and other expenses. The article quoted him: "Now say I get an average $850 per nuclear stress test...Then I have to do at least 10 stress tests a month just to cover the costs, no profit going into my pocket."

My first response to the article is "why did he have to pick on nuclear medicine as the example, considering that all the other diagnostic tests have also increased greatly, with some people questioning whether they are needed."

Then I began to wonder if there might be some truth to the claim, especially as outpatient cardiology clinics have added nuclear medicine studies to their in-office cardiac offerings.  

I know that there were a couple of times that I performed lung scans on ICU patients who were so sick, and on so many machines, that I wondered whether it would have been kinder to just let them alone, since they were so obviously close to death. As a technologist, however, I was not privy to whether the information from the scan really did aid in prolonging their life or reducing their pain. Indeed, during the time I worked in nuclear medicine, I never felt that any imaging tests were ordered for reasons other than to gain additional diagnostic information that might improve that patient's potential care. Have you seen any indication in outpatient facilities or in the hospital that there is a move toward ordering nuclear medicine scans for questionable reasons, such as litigation worries or financial gain?

 

3 comments

This type of problem has been around for years.  In the early 90s I was working at a cardiology practice doing nuclear cardiac scans.  There were four cardiologists in the city.  At the time we were the only nuclear imaging in the city.  Even the hospital shipped their patients across the street to us!  Only three of the cardiologists were in the practice I worked for.  We saw scan requests from the other cardiologist maybe once every 6-8 weeks.

The lone cardiologist purchased his own camera and technologist.  Since the technologist was a friend of mine I asked him how long before he would be doing a lot of scans.  His reply was that he started off doing 30-45 scans per month!

As I was taking a college business ethics course at the time and we had a paper to write about ethics, I presented these facts.  Was the lone physician doing studies that he wouldn't have ordered because they would have been done by the competation or was he ordering studies just to increase his income.  His scan numbers were more than enough to cover the costs of his new imaging clinic.

I showed my paper to a local state representative.  Although at the time the high cost of medical was a big thing he simply stated that was how business was done!

Richard Bennett, Nuclear medicine - Technologist, retired April 14, 2008 7:02 PM
Murray KY

I have found that "the hospital down the road" that has the same pt base as us does only half the number of Dual Isotope Stress Tests.  I found that the Cardiologists that visit twice a week bring their own Echo Tech and that the Cardiologists read all their own Echos.

The hospital lost the Nuclear business and the Cardiologists (that they invited in) get all the money. We had a problem several years ago with the Cardiologists scheduling the Stress test at their office instread of the hospital.  My supervisor looked into it and it stopped.

Gloria, Nuclear - Technologist, St. Margaret's Health March 17, 2008 8:31 PM
Spring Valley IL

Yes Joyce,

I have seen this going on for quite a few years. One case in particular comes to mind.

In a hospital setting, we had a 3 camera Nuc Med dept. doing stress tests. The Cardiologist group in town oversaw the tests.

Bu what we didn't know was that they were compiling a list of referral doctors who sent the patient to have the test. The cardiology group got their own camera, and marketed the referring docs to send the patients to their imaging facility rather than to the hospital. In addition, the cardiologists were dismissing inpatients and given a referral for a stress test at their facility as an outpatient. So here we lost a significant portion of our outpatients AND our inpatient numbers went down.

And yes, they ordered more tests when the patients were being done at their facility.

Everett

Everett Lang, , CNMT DCMH March 12, 2008 3:37 PM
Sturgeon Bay WI

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