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Time Tracking of Standard Ultrasound Examinations in Pediatric Hospitals and Pediatric Medical Practices - A Multicenter Study by the Pediatric Section of the German Society of Ultrasound in Medicine (DEGUM).
Regensburger, Adrian P; Knieling, Ferdinand; Feldkamp, Axel; Rascher, Wolfgang; Diesch, Katharina; Woelfle, Joachim; Prokosch, Hans-Ulrich; Jüngert, Jörg.
Afiliação
  • Regensburger AP; Department of Pediatrics and Adolescent Medicine, University Hospital Erlangen, Friedrich-Alexander-University (FAU) Erlangen-Nuremberg, Germany.
  • Knieling F; Department of Pediatrics and Adolescent Medicine, University Hospital Erlangen, Friedrich-Alexander-University (FAU) Erlangen-Nuremberg, Germany.
  • Feldkamp A; Children's Hospital, Sana Duisburg Clinics, Duisburg, Germany.
  • Rascher W; Department of Pediatrics and Adolescent Medicine, University Hospital Erlangen, Friedrich-Alexander-University (FAU) Erlangen-Nuremberg, Germany.
  • Diesch K; Center for Medical Information and Communication Technology, University Hospital Erlangen, Erlangen, Germany.
  • Woelfle J; Department of Pediatrics and Adolescent Medicine, University Hospital Erlangen, Friedrich-Alexander-University (FAU) Erlangen-Nuremberg, Germany.
  • Prokosch HU; Center for Medical Information and Communication Technology, University Hospital Erlangen, Erlangen, Germany.
  • Jüngert J; Department of Pediatrics and Adolescent Medicine, University Hospital Erlangen, Friedrich-Alexander-University (FAU) Erlangen-Nuremberg, Germany.
Ultraschall Med ; 42(4): 379-387, 2021 Aug.
Article em En | MEDLINE | ID: mdl-31648348
ABSTRACT

PURPOSE:

Ultrasonography is the primary imaging modality in pediatrics but still lacks sufficient reimbursement in Germany. In this multicenter study, national data for the duration of standard ultrasound in pediatrics were systematically documented in order to specify the actual time required. MATERIALS AND

METHODS:

N = 10 hospitals (N = 5 university hospitals, N = 5 non-university hospitals) and N = 3 medical practices in Germany recorded the entire process of an ultrasound examination in a special protocol developed by the Pediatric Section of the DEGUM. The duration of each of seven single steps during ultrasonography (from data input to final discussion of the results) of different organ systems was logged.

RESULTS:

In total, N = 2118 examinations from different organ systems were recorded. N = 10 organ systems were examined frequently (> 30 times). The total duration of an ultrasound examination was statistically significantly longer in hospitals compared to medical practices (median (IQR) 27 min. (18-38) vs. 12 min. (9-17), p < 0.001). The "hands-on" patient time was approximately one half of the total required time in both settings (49.9 % vs. 48.9 %). Ultrasonography of the abdomen and brain lasted longer in university hospitals than in non-university hospitals (p < 0.001, and p = 0.04, respectively). Cooperation and age did not uniformly correlate with the total duration.

CONCLUSION:

This study provides novel comprehensive national data for the duration of standardized ultrasound examinations of children and adolescents in Germany. These data are essential for a further evaluation of the economic costs and should support better remuneration in the future.
Assuntos

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Pediatria / Hospitais Pediátricos Tipo de estudo: Clinical_trials / Diagnostic_studies / Guideline Limite: Adolescent / Child / Humans País como assunto: Europa Idioma: En Ano de publicação: 2021 Tipo de documento: Article

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Pediatria / Hospitais Pediátricos Tipo de estudo: Clinical_trials / Diagnostic_studies / Guideline Limite: Adolescent / Child / Humans País como assunto: Europa Idioma: En Ano de publicação: 2021 Tipo de documento: Article