http://archinte.jamanetwork.com/ en-us Mon, 31 Dec 2012 00:00:00 GMT Tue, 01 Jan 2013 00:49:36 GMT Silverchair editor@archinte.jamanetwork.com webmaster@archinte.jamanetwork.com http://archinte.jamanetwork.com/article.aspx?articleID=1352793 Mon, 12 Nov 2012 00:00:00 GMT Neeman N, Quinn K, Soni K, et al. <span class="paragraphSection">Diagnostic imaging costs and use are increasing rapidly without clear evidence of incremental benefit. Approximately 20% to 50% of these tests fail to provide information that improves clinical care; more alarming, the prevalence of unnecessary radiation exposure or subsequent testing may generate patient harm. Addressing these facts and the burgeoning costs associated with test overuse provides an opportunity to change physician behavior. Because cost consciousness and physician stewardship are not a standard curricular focus in medical ecucation, optimizing physicians' test ordering behavior can also align educational imperatives with a value-based initiative. Herein, we present the results of a quality-improvement intervention that evaluated the impact of providing cost, utilization, and radiation exposure data on radiology test ordering practices.</span> 172 20 1606 1608 10.1001/archinternmed.2012.4293 http://archinte.jamanetwork.com/article.aspx?articleID=1352793