Evaluation of Prescription Appropriateness of CT Scan for Low Back Pain in Shiraz’s Referral Trauma Hospital Using RAND Appropriateness Method
Kavosi Zahra (PhD) 1; Esfandiari Atefeh (PhD) 2; Frazanegan Gholamreza (MD) 3; Abuzar Dehghan (MSc) 4; Salari Hedayat (PhD) 2*
1 Health Human Resources Research Center, School of Management and Information Sciences,
Shiraz University of Medical Sciences, Shiraz, Iran
2 PhD in Health Policy, Assistant Professor, Department of Health Policy and Management,
School of Medicine, Bushehr University of Medical Sciences. Bushehr, Iran
3 Associate Professor, Department Neurosurgery, Baghiatalla University of Medical Sciences, Tehran, Iran
4 MSc Student, Department of Health Services Management, School of Management and
Medical Information, Shiraz University of Medical Sciences, Shiraz, Iran
Introduction: This study aims to identify the appropriateness of CT Scan prescriptions for Lumbar Spine using the RAND Appropriateness Method in Shiraz University of Medical Sciences (SUMS). Methods: A total of 281 patients referred to the hospitals affiliated with Shiraz University of Medical Sciences were selected as sample of the study in 2016. The scenarios derived through the RAND Appropriateness Method were compared with medical records of these patients by educated physicians.
Results: Out of 281 cases of lumbar spine MRI prescriptions, 57.7% were appropriate, 32.7 % were uncertain, and 9.6 % were considered to be appropriate. In addition, some related factors to appropriateness of prescriptions were identified.
Conclusions: Clinical guidelines developed using RAND Appropriateness Method can be an appropriate instrument for policy makers, health care providers, and health insurance companies in order to reduce inappropriate cares and quality improvement, especially in developing countries. It is recommended that appropriateness of prescriptions will be considered as the criteria for payment and reimbursement to prescribers. In this way, inappropriate cares may be reduced.
Keywords: Appropriateness; RAND Appropriateness Method; CT Scan Prescription; Lumbar Spine
Please cite this article as follows:
Kavosi Z, Esfandiari A, Frazanegan Gh R, Abuzar Dehghan, Salari H. Evaluation of Prescription Appropriateness of CT Scan for Low Back Pain in Shiraz’s Referral Trauma Hospital Using RAND Appropriateness Method. Hakim Health SysRes 2018; 20(4): 234- 239.
*Corresponding Author: Bushehr University of Medical Sciences, School of Medicine, Moallem St, Bushehr, Iran. Tel/Fax: +98-7733320657,E-mail: firstname.lastname@example.org