title: Cost-effectiveness of barium enemas performed by radiographers.
abstract: OBJECTIVE
  To assess the cost-effectiveness of barium enemas performed by radiographers compared to those performed by consultant radiologists.
  
  
  METHODS
  Prospective study of 200 barium enemas carried out by a senior radiographer and a consultant radiologist. The sample was a consecutive sample of adult out-patients over a 3-month period, with no exclusion. The length of time of the enema and the numbers and grades of staff involved in the procedure were recorded. This was translated into staffing costs using the appropriate pay scales.
  
  
  RESULTS
  The barium enemas performed by the superintendent radiographer were more cost-effective than those performed by the consultant radiologist (pound 1406 for 100 radiographer-performed barium enemas compared to pound 1787 for 100 carried out by the consultant radiologist).
  
  
  CONCLUSIONS
  In terms of staffing costs, radiographers performing barium enemas not only liberates radiologist time, it is also a cost-effective method of providing an out-patient barium enema service.
authors.affiliation: Division of Radiology, Royal Albert Edward Infirmary, Wigan, UK.
authors.forename: Lorraine
authors.initials: L
authors.lastname: Brown
authors.forename: Sharad
authors.initials: S
authors.lastname: Desai
mesh_terms: D001466:Barium Sulfate; D003362:Cost-Benefit Analysis; D004733:Enema / Q000191:economics*; D006801:Humans; D011859:Radiography / Q000191:economics*; D011871:Radiology / Q000191:economics*; D013997:Time Factors
chemical_list: D001466:Barium Sulfate