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Data Sharing and Teleradiology
Published in Alexander Peck, Clark’s Essential PACS, RIS and Imaging Informatics, 2017
The most common reasons for transfer are varied: Clinical opinion (referral/relocation of patient unlikely).Clinical opinion (referral/relocation likely).Reporting.Contractual (routine outsourcing of certain types of exams, such as CT/MRI brain, perhaps using the Any Qualified Provider [AQP] services, or those provided on relocatable ‘vans’).Shared MDT meetings.Referred/standard referral (without opinion owing to set patient pathways).Clinical collaboration with specialist colleagues (a ‘second opinion’).Teaching.Contractual (on-call or out-of-hours reasons): requested by a radiologist (in contemplation of another action – with no specific reason at present, but gets the transfer process underway).
Defensive medicine in Danish general practice. Types of defensive actions and reasons for practicing defensively
Published in Scandinavian Journal of Primary Health Care, 2021
Merethe K. Andersen, Elisabeth Assing Hvidt, Kjeld M. Pedersen, Jesper Lykkegaard, Frans B. Waldorff, Anders P. Munck, Line B. Pedersen
Ideally, all physicians, across specialties and sectors, should collaborate by discussing and sharing best patient care [18], for example, radiologists could help educate referring colleagues about the benefits and risks of diagnostic imaging prescribed [19]. A climate of clinical collaboration would be conducive to the best use of healthcare services [12], eventually reducing DM costs [20]. Moreover, it should be recognised that medicine is not an exact science [21,22] as certainty is non-existent in medical practice [23]. Patients’ trust in physicians has decreased in the last decades, maybe because physicians’ time spent with the individual patient has been reduced [24]. If patients do not trust their physician, they will become reluctant to provide important information [4]. Trust in the physician–patient relationship should be further re-enforced as this may be the most efficient antidote to DM [1].