The analysis of waiting time and utilization of computed tomography and magnetic resonance imaging in Croatia: a nationwide survey
To assess the variation in the waiting time for diagnostic imaging (DI) services among Croatian public hospitals and the utilization of computed tomography (CT) and magnetic resonance imaging (MRI) scanners. We analyzed aggregated data from public hospitals. Counties were classified according to eco...
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| Veröffentlicht in: | Croatian medical journal 2020-12, Vol.61 (6), p.538-546 |
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| container_title | Croatian medical journal |
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| creator | Biloglav, Zrinka Medaković, Petar Buljević, Jure Žuvela, Franko Padjen, Ivan Vrkić, Dina Ćurić, Josip |
| description | To assess the variation in the waiting time for diagnostic imaging (DI) services among Croatian public hospitals and the utilization of computed tomography (CT) and magnetic resonance imaging (MRI) scanners.
We analyzed aggregated data from public hospitals. Counties were classified according to economic strength, and utilization was expressed as the average number of exams per machine. We compared the waiting times for 2018 and utilization for 2015 according to hospital category (high and low level) and economic strength by county.
The waiting time was longer for MRI compared with CT, 268 vs 77.61 days. Overall CT waiting time was in the unfavorable European Health Consumer Index category. High-level hospitals had longer waiting time for MRI and CT. The waiting time positively correlated with economic strength for MRI (P=0.019), but not for CT. In low-level hospitals, MRI utilization ranged from 104 to 6032, whereas CT utilization ranged from 48 to 17852. In high-level hospitals, MRI utilization ranged from 3846 to 11 026, while CT utilization ranged from 503 to 17 234. CT (P=0.041) and MRI (P=0.031) utilization in high-level hospitals was significantly higher than in low-level hospitals.
The waiting times for CT and MRI were exceptionally long regardless of the hospital category, with highly varying utilization. Croatia performed more exams per scanner compared with other EU countries, but not significantly so. High-level hospitals' utilization was significantly higher than that of low-level hospitals, and CT utilization was significantly higher than EU average, while the difference for MRI utilization was not significant. |
| doi_str_mv | 10.3325/CMJ.2020.61.538 |
| format | Article |
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We analyzed aggregated data from public hospitals. Counties were classified according to economic strength, and utilization was expressed as the average number of exams per machine. We compared the waiting times for 2018 and utilization for 2015 according to hospital category (high and low level) and economic strength by county.
The waiting time was longer for MRI compared with CT, 268 vs 77.61 days. Overall CT waiting time was in the unfavorable European Health Consumer Index category. High-level hospitals had longer waiting time for MRI and CT. The waiting time positively correlated with economic strength for MRI (P=0.019), but not for CT. In low-level hospitals, MRI utilization ranged from 104 to 6032, whereas CT utilization ranged from 48 to 17852. In high-level hospitals, MRI utilization ranged from 3846 to 11 026, while CT utilization ranged from 503 to 17 234. CT (P=0.041) and MRI (P=0.031) utilization in high-level hospitals was significantly higher than in low-level hospitals.
The waiting times for CT and MRI were exceptionally long regardless of the hospital category, with highly varying utilization. Croatia performed more exams per scanner compared with other EU countries, but not significantly so. High-level hospitals' utilization was significantly higher than that of low-level hospitals, and CT utilization was significantly higher than EU average, while the difference for MRI utilization was not significant.</description><identifier>ISSN: 0353-9504</identifier><identifier>EISSN: 1332-8166</identifier><identifier>DOI: 10.3325/CMJ.2020.61.538</identifier><identifier>PMID: 33410301</identifier><language>eng</language><publisher>Croatia: Sveuciliste U Zagrebu</publisher><subject>Croatia - epidemiology ; Cross-Sectional Studies ; CT imaging ; Databases, Factual ; Evaluation ; Female ; Hospitals - statistics & numerical data ; Humans ; Magnetic resonance imaging ; Magnetic Resonance Imaging - statistics & numerical data ; Male ; Medical appointments and schedules ; Surveys and Questionnaires ; Time Factors ; Time-to-Treatment ; Tomography, X-Ray Computed - statistics & numerical data ; Waiting Lists ; Watchful Waiting</subject><ispartof>Croatian medical journal, 2020-12, Vol.61 (6), p.538-546</ispartof><rights>COPYRIGHT 2020 Sveuciliste U Zagrebu</rights><rights>Copyright © 2020 by the Croatian Medical Journal. All rights reserved. 2020</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c491t-fe974def8a9cceca646ba4adde8e35a2b6866af6906071f26371f2f9409862843</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7821363/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7821363/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33410301$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Biloglav, Zrinka</creatorcontrib><creatorcontrib>Medaković, Petar</creatorcontrib><creatorcontrib>Buljević, Jure</creatorcontrib><creatorcontrib>Žuvela, Franko</creatorcontrib><creatorcontrib>Padjen, Ivan</creatorcontrib><creatorcontrib>Vrkić, Dina</creatorcontrib><creatorcontrib>Ćurić, Josip</creatorcontrib><title>The analysis of waiting time and utilization of computed tomography and magnetic resonance imaging in Croatia: a nationwide survey</title><title>Croatian medical journal</title><addtitle>Croat Med J</addtitle><description>To assess the variation in the waiting time for diagnostic imaging (DI) services among Croatian public hospitals and the utilization of computed tomography (CT) and magnetic resonance imaging (MRI) scanners.
We analyzed aggregated data from public hospitals. Counties were classified according to economic strength, and utilization was expressed as the average number of exams per machine. We compared the waiting times for 2018 and utilization for 2015 according to hospital category (high and low level) and economic strength by county.
The waiting time was longer for MRI compared with CT, 268 vs 77.61 days. Overall CT waiting time was in the unfavorable European Health Consumer Index category. High-level hospitals had longer waiting time for MRI and CT. The waiting time positively correlated with economic strength for MRI (P=0.019), but not for CT. In low-level hospitals, MRI utilization ranged from 104 to 6032, whereas CT utilization ranged from 48 to 17852. In high-level hospitals, MRI utilization ranged from 3846 to 11 026, while CT utilization ranged from 503 to 17 234. CT (P=0.041) and MRI (P=0.031) utilization in high-level hospitals was significantly higher than in low-level hospitals.
The waiting times for CT and MRI were exceptionally long regardless of the hospital category, with highly varying utilization. Croatia performed more exams per scanner compared with other EU countries, but not significantly so. High-level hospitals' utilization was significantly higher than that of low-level hospitals, and CT utilization was significantly higher than EU average, while the difference for MRI utilization was not significant.</description><subject>Croatia - epidemiology</subject><subject>Cross-Sectional Studies</subject><subject>CT imaging</subject><subject>Databases, Factual</subject><subject>Evaluation</subject><subject>Female</subject><subject>Hospitals - statistics & numerical data</subject><subject>Humans</subject><subject>Magnetic resonance imaging</subject><subject>Magnetic Resonance Imaging - statistics & numerical data</subject><subject>Male</subject><subject>Medical appointments and schedules</subject><subject>Surveys and Questionnaires</subject><subject>Time Factors</subject><subject>Time-to-Treatment</subject><subject>Tomography, X-Ray Computed - statistics & numerical data</subject><subject>Waiting Lists</subject><subject>Watchful Waiting</subject><issn>0353-9504</issn><issn>1332-8166</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNptks1r3DAQxU1pabZpz70VQaH0Ykdf1to9BMLST1J6Sc9iVh7bCra0teSE7bF_eeVsGrJQBBK8-c1jNLwse81oIQQvzzbfvxWcclooVpSiepKtWNLziin1NFtRUYq8Lqk8yV6EcE0TKKV6np0IIRkVlK2yP1c9EnAw7IMNxLfkFmy0riPRjkuhIXO0g_0N0Xq31I0fd3PEhkQ_-m6CXb-_w0boHEZryITBO3AGiU3aYmUd2Uw-OcAHAsTdWd3aBkmYpxvcv8yetTAEfHX_nmY_P3282nzJL398_rq5uMyNrFnMW6zXssG2gtoYNKCk2oKEpsEKRQl8qyqloFU1VXTNWq7Ecre1pHWleCXFaXZ-8N3N2xEbgy5OMOjdlOac9tqD1ccVZ3vd-Ru9rjgTSiSD9_cGk_81Y4h6tMHgMIBDPwfN5VoxLutaJfTtAe1gQG1d65OjWXB9oWS95oqLZaLiP1Q6DY7WeIetTfpRw7tHDT3CEPvgh3nZaDgGzw6gmXwIE7YP32RUL8nRZrzWS3K0YjolJ3W8ebydB_5fVMRfvd_AZg</recordid><startdate>20201201</startdate><enddate>20201201</enddate><creator>Biloglav, Zrinka</creator><creator>Medaković, Petar</creator><creator>Buljević, Jure</creator><creator>Žuvela, Franko</creator><creator>Padjen, Ivan</creator><creator>Vrkić, Dina</creator><creator>Ćurić, Josip</creator><general>Sveuciliste U Zagrebu</general><general>Croatian Medical Schools</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20201201</creationdate><title>The analysis of waiting time and utilization of computed tomography and magnetic resonance imaging in Croatia: a nationwide survey</title><author>Biloglav, Zrinka ; Medaković, Petar ; Buljević, Jure ; Žuvela, Franko ; Padjen, Ivan ; Vrkić, Dina ; Ćurić, Josip</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c491t-fe974def8a9cceca646ba4adde8e35a2b6866af6906071f26371f2f9409862843</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Croatia - epidemiology</topic><topic>Cross-Sectional Studies</topic><topic>CT imaging</topic><topic>Databases, Factual</topic><topic>Evaluation</topic><topic>Female</topic><topic>Hospitals - statistics & numerical data</topic><topic>Humans</topic><topic>Magnetic resonance imaging</topic><topic>Magnetic Resonance Imaging - statistics & numerical data</topic><topic>Male</topic><topic>Medical appointments and schedules</topic><topic>Surveys and Questionnaires</topic><topic>Time Factors</topic><topic>Time-to-Treatment</topic><topic>Tomography, X-Ray Computed - statistics & numerical data</topic><topic>Waiting Lists</topic><topic>Watchful Waiting</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Biloglav, Zrinka</creatorcontrib><creatorcontrib>Medaković, Petar</creatorcontrib><creatorcontrib>Buljević, Jure</creatorcontrib><creatorcontrib>Žuvela, Franko</creatorcontrib><creatorcontrib>Padjen, Ivan</creatorcontrib><creatorcontrib>Vrkić, Dina</creatorcontrib><creatorcontrib>Ćurić, Josip</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Croatian medical journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Biloglav, Zrinka</au><au>Medaković, Petar</au><au>Buljević, Jure</au><au>Žuvela, Franko</au><au>Padjen, Ivan</au><au>Vrkić, Dina</au><au>Ćurić, Josip</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The analysis of waiting time and utilization of computed tomography and magnetic resonance imaging in Croatia: a nationwide survey</atitle><jtitle>Croatian medical journal</jtitle><addtitle>Croat Med J</addtitle><date>2020-12-01</date><risdate>2020</risdate><volume>61</volume><issue>6</issue><spage>538</spage><epage>546</epage><pages>538-546</pages><issn>0353-9504</issn><eissn>1332-8166</eissn><abstract>To assess the variation in the waiting time for diagnostic imaging (DI) services among Croatian public hospitals and the utilization of computed tomography (CT) and magnetic resonance imaging (MRI) scanners.
We analyzed aggregated data from public hospitals. Counties were classified according to economic strength, and utilization was expressed as the average number of exams per machine. We compared the waiting times for 2018 and utilization for 2015 according to hospital category (high and low level) and economic strength by county.
The waiting time was longer for MRI compared with CT, 268 vs 77.61 days. Overall CT waiting time was in the unfavorable European Health Consumer Index category. High-level hospitals had longer waiting time for MRI and CT. The waiting time positively correlated with economic strength for MRI (P=0.019), but not for CT. In low-level hospitals, MRI utilization ranged from 104 to 6032, whereas CT utilization ranged from 48 to 17852. In high-level hospitals, MRI utilization ranged from 3846 to 11 026, while CT utilization ranged from 503 to 17 234. CT (P=0.041) and MRI (P=0.031) utilization in high-level hospitals was significantly higher than in low-level hospitals.
The waiting times for CT and MRI were exceptionally long regardless of the hospital category, with highly varying utilization. Croatia performed more exams per scanner compared with other EU countries, but not significantly so. High-level hospitals' utilization was significantly higher than that of low-level hospitals, and CT utilization was significantly higher than EU average, while the difference for MRI utilization was not significant.</abstract><cop>Croatia</cop><pub>Sveuciliste U Zagrebu</pub><pmid>33410301</pmid><doi>10.3325/CMJ.2020.61.538</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; DOAJ Directory of Open Access Journals; EZB-FREE-00999 freely available EZB journals; PubMed Central |
| subjects | Croatia - epidemiology Cross-Sectional Studies CT imaging Databases, Factual Evaluation Female Hospitals - statistics & numerical data Humans Magnetic resonance imaging Magnetic Resonance Imaging - statistics & numerical data Male Medical appointments and schedules Surveys and Questionnaires Time Factors Time-to-Treatment Tomography, X-Ray Computed - statistics & numerical data Waiting Lists Watchful Waiting |
| title | The analysis of waiting time and utilization of computed tomography and magnetic resonance imaging in Croatia: a nationwide survey |
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