Radiology in modern economics - business as usual?

Authors

DOI:

https://doi.org/10.59667/sjoranm.v2i.11

Keywords:

financial crisis, demedicalization, reimbursement of radiology, health care, centrality in patient care

Abstract

Three components are critical to a well-functioning radiology system: (1) the discipline's self-perception and how it is perceived by others; (2) the radiologist as a clinician and human being; and (3) the economic resources available to the radiology department. Radiologists play a central role in diagnosis, treatment planning, image-guided therapy, and radiation protection [1]. Economic pressure can reduce reimbursement, constrain staffing and investment, and encourage organizational models in which medical responsibility becomes less visible [2, 3]. This article discusses strategies that may help radiology remain clinically integrated, professionally independent, and economically sustainable. It argues for strong clinical engagement, realistic evaluation of technology and artificial intelligence, and transparent allocation of resources.

Author Biography

  • Frank Mosler, Department of Diagnostic, Interventional and Pediatric Radiology, Inselspital, University Hospital of Bern, University of Bern

    Senior Consultant Radiology and Interventional Radiology
    Senior Consultant Diagnostic and Invasive Neuroradiology
    Interventional Paintherapy

References

1. European Society of Radiology. The role of radiologist in the changing world of healthcare: a White Paper of the European Society of Radiology (ESR). Insights Imaging. 2022;13(1):100. https://doi.org/10.1186/s13244-022-01241-4 DOI: https://doi.org/10.1186/s13244-022-01241-4

2. European Society of Radiology. The consequences of the economic crisis in radiology. Insights Imaging. 2015;6(6):573-577. https://doi.org/10.1007/s13244-015-0434-9 DOI: https://doi.org/10.1007/s13244-015-0434-9

3. Stuckler D, Basu S, Suhrcke M, McKee M. The health implications of financial crisis: a review of the evidence. Ulster Med J. 2009;78(3):142-145. https://pubmed.ncbi.nlm.nih.gov/19907678/

4. Bosbach WA, et al. Ability of ChatGPT to generate competent radiology reports for distal radius fracture by use of RSNA template items and integrated AO classifier. Curr Probl Diagn Radiol. 2024;53(1):102-110. https://doi.org/10.1067/j.cpradiol.2023.04.001 DOI: https://doi.org/10.1067/j.cpradiol.2023.04.001

5. Meyl TP, et al. Software-Based Evaluation of Optimization Potential for Clinical MRI Scanners in Radiology. Rofo. 2022;194(4):391-399. https://doi.org/10.1055/a-1659-8821 DOI: https://doi.org/10.1055/a-1659-8821

6. Breeze PR, et al. Guidance on the use of complex systems models for economic evaluations of public health interventions. Health Econ. 2023;32(7):1603-1625. https://doi.org/10.1002/hec.4681 DOI: https://doi.org/10.1002/hec.4681

7. Karanikolos M, et al. Financial crisis, austerity, and health in Europe. Lancet. 2013;381(9874):1323-1331. https://doi.org/10.1016/S0140-6736(13)60102-6 DOI: https://doi.org/10.1016/S0140-6736(13)60102-6

8. World Health Organization. Framework for countries to achieve an integrated continuum of long-term care. Geneva: WHO; 2021. https://www.who.int/publications/i/item/9789240038844

9. Kolasa K, et al. Do We Need Another CT Scanner? The Pilot Study of the Adoption of an Evolutionary Algorithm to Investment Decision Making in Healthcare. Tomography. 2023;9(2):776-789. https://doi.org/10.3390/tomography9020063 DOI: https://doi.org/10.3390/tomography9020063

10. Hilabi BS, Alghamdi SA, Almanaa M. Impact of Magnetic Resonance Imaging on Healthcare in Low- and Middle-Income Countries. Cureus. 2023;15(4):e37698. https://doi.org/10.7759/cureus.37698 DOI: https://doi.org/10.7759/cureus.37698

11. Menzies NA, et al. Bayesian Methods for Calibrating Health Policy Models: A Tutorial. Pharmacoeconomics. 2017;35(6):613-624. https://doi.org/10.1007/s40273-017-0494-4 DOI: https://doi.org/10.1007/s40273-017-0494-4

12. World Bank. GDP (current US$). World Development Indicators; 2021 data. Accessed September 24, 2026. https://data.worldbank.org/indicator/NY.GDP.MKTP.CD

SJORANM article cover, Vol. 2 No. 1 (2023). Holographic symbolic illustration for article 9.

Downloads

Published

2023-08-25

Issue

Vol. 2 No. 1 (2023)

Section

Letters and Communications

License

Copyright (c) 2023 Frank Mosler

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

This license requires that reusers give credit to the creator. It allows reusers to distribute, remix, adapt, and build upon the material in any medium or format, even for commercial purposes.

How to Cite

Mosler, F. (2023). Radiology in modern economics - business as usual?. Swiss Journal of Radiology and Nuclear Medicine, 2(1), 1-6. https://doi.org/10.59667/sjoranm.v2i.11

Share

Similar Articles

1-10 of 82

You may also start an advanced similarity search for this article.

Most read articles by the same author(s)

1 2 > >>