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Dr. Ashish Bhagat, a Consultant Radiologist, explores the importance of assessing referral appropriateness for medical procedures. The decision to perform a procedure should weigh expected health benefits, such as increased life expectancy and pain relief, against potential negative consequences like morbidity and procedure-related pain. This discussion includes outcome measures such as correct diagnosis, hospital stay length, and patient survival. Cost-effectiveness analyses further support informed decision-making. Understanding these factors ensures that medical interventions provide real value to patients.
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REFERRAL APPROPRIATENESS Dr. Ashish Bhagat Consultant Radiologist.
REFERRAL APPROPRIATENESS The indication to perform a medical procedure is appropriate when the expected health benefit (ie, increased life expectancy, relief of pain, reduction in anxiety, improved functional capacity) exceeds the expected negative consequences (ie, mortality, morbidity, anxiety of anticipating the procedure, pain produced by the procedure) by a sufficiently wide margin that the procedure is worth doing.
OUTCOME MEASURES • INTERMEDIATE OUTCOMES • correct diagnosis / exclusion of diagnosis • length of hospital stay • number of secondary referrals saved • Patient perception of the value of a measure. • LONG TERM OUTCOMES • patient survival • improved quality of life • quality-adjusted life expectancy
Cost Effectiveness • Cost minimisation. • Cost-Benefit Analysis • Cost-Effectiveness Analysis • Cost-Utility Analysis