title: Cost-effective use of the noninvasive vascular laboratory: potential trends related to increased economic pressures.
abstract: Because noninvasive studies typically are used in the place of more costly and more invasive technologies, the vascular laboratory remains a key element in the care of vascular patients. We have examined an established model for vascular laboratory cost/efficiency analysis in light of trends toward decreased reimbursement. In this study, we review potential strategies for more cost-effective laboratory management, including the impact of part-time technologists, staggered work hours, and equipment allocation. As the need to decrease costs continues, the greatest pressure will be felt in the areas of personnel and equipment costs. Diligence and dedication will be required to prevent these pressures from creating a negative impact on the quality of studies, patient access to care, and technological innovation.
authors.affiliation: Section of Vascular Surgery, Dartmouth-Hitchcock Medical Center, Lebanon, NH 03756, USA.
authors.forename: M F
authors.initials: MF
authors.lastname: Fillinger
mesh_terms: D003362:Cost-Benefit Analysis; D003952:Diagnostic Imaging / Q000191:economics* / Q000706:statistics & numerical data; D017598:Efficiency, Organizational / Q000191:economics*; D017721:Hospital Costs / Q000706:statistics & numerical data*; D006801:Humans; D007755:Laboratories, Hospital / Q000191:economics* / Q000706:statistics & numerical data; D016345:Medicare Part B; D011859:Radiography; D015895:Relative Value Scales; D014481:United States; D014652:Vascular Diseases / Q000000981:diagnostic imaging* / Q000191:economics; D014656:Vascular Surgical Procedures / Q000191:economics*