Determinants of acquisition of MR imaging units in an era of prospective payment

E. P. Steinberg, W. B. Stason, R. DiMonda, S. A. Schroeder

Research output: Contribution to journalArticlepeer-review

Abstract

A survey was undertaken to examine the impact of Medicare's Prospective Payment System (PPS) and other recent changes in the health care environment on provider's decisions regarding acquisition of high-cost technology equipment. The survey group included 199 hospitals and freestanding imaging centers known to have acquired magnetic resonance (MR) imaging units, as well as a random sample of 400 hospitals whose acquisition decisions were unknown to the authors. Fifty-eight percent of the known adopters and 61% of the randomly selected hospitals responded to the survey. Nonadopters' decisions were dominated by economic considerations, including the high cost of MR imagers and concerns about Medicare's reimbursement policies. Competition and a desire to provide the highest quality of care are counterbalancing the retardant effects of PPS, however, and are stimulating widespread diffusion of MR imagers.

Original languageEnglish (US)
Pages (from-to)265-270
Number of pages6
JournalRADIOLOGY
Volume168
Issue number1
DOIs
StatePublished - Jan 1 1988

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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