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Referring Physicians' Attitudes Toward International Interpretation of Teleradiology Images

¹ Department of Diagnostic Radiology, Yale University School of Medicine, New Haven, CT.
² Present address: 43 Boone St., Staten Island, NY 10314.
³ Department of Radiology, Bridgeport Hospital, Bridgeport, CT.
⁴ Advanced Radiology Consultants, LLC, Trumbull, CT.
⁵ Statistical Consultant, Beverly, MA.
⁶ Yale College Department of Economics, Yale School of Management and Yale School of Public Health, New Haven, CT.

OBJECTIVE. We evaluated referring physician attitudes toward the international interpretation of radiologic images.

MATERIALS AND METHODS. A five-question, scenario-based survey describing features of a hypothetic local radiology firm compared with those of its hypothetic overseas counterpart, international radiology, was sent by mail to 350 physicians from a broad range of medical and surgical specialties. One hundred nineteen physicians responded, for a response rate of 34%. Referring physicians were asked to indicate their preference for local versus international interpretation in each scenario using a 5-point Likert scale, with a score of -2 indicating a strong preference for international services, 0 indicating no preference, and 2 indicating a strong preference for local services.

RESULTS. When all variables are held to be equal, referring physicians strongly prefer local services (mean score, 1.77; SD, 0.77). When international teleradiology provides either a 2-day faster turnaround time for reports or a $30 lower out-of-pocket cost to the patient, referring physicians still prefer local services, although less than they did with all variables held equal (mean score, 0.42-0.44; SD, 1.30-1.40). When international teleradiology provides both a 2-day faster turnaround time and a $30 lower out-of-pocket cost to the patient, referring physicians preferred international teleradiology, albeit only slightly (mean, -0.25; SD, 1.50). Finally, when the credentials of the international radiologists are perceived to be less than those of the local radiologists, even in the face of faster turnaround time and $30 lower cost to the patient, referring physicians overall strongly prefer local services (mean, 1.51; SD, 0.86).

CONCLUSION. Referring physicians prefer local interpretation of radiologic images to international interpretation when all things are equal. However, the timeliness of image interpretation and the cost to the patient are important factors in this decision.

Keywords: practice of radiology • teleradiology

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This article has been cited by other articles:

				J. H. Thrall Teleradiology * Part II. Limitations, Risks, and Opportunities Radiology, August 1, 2007; 244(2): 325 - 328. [Full Text] [PDF]