Send to

Choose Destination
See comment in PubMed Commons below
Health Aff (Millwood). 2010 Dec;29(12):2244-51. doi: 10.1377/hlthaff.2010.0413.

Imaging self-referral associated with higher costs and limited impact on duration of illness.

Author information

  • 1American College of Radiology, Reston, Virginia, USA.


Self-referral for imaging services occurs when a physician sends patients to receive an imaging procedure from a device that the physician owns or leases. Advocates argue that this shortens the duration of illness and lowers costs. For twenty common combinations of medical conditions and types of imaging, we evaluated the association between self-referral, duration of illness episode, and three measures of cost. Self-referral was associated with significantly and substantially higher episode costs for most of the combinations of medical conditions and imaging that we studied. There was no decrease in the length of illness, except when doctors self-referred patients to receive x-rays for a few common conditions. These findings indicate that except for x-rays, constraining the self-referral of imaging may be appropriate.

Comment in

[PubMed - indexed for MEDLINE]
Free full text
PubMed Commons home

PubMed Commons

How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for HighWire
    Loading ...
    Write to the Help Desk