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首页> 外文期刊>Journal of the American College of Radiology: JACR >A medical student perspective on self-referral and overutilization in radiology: Application of the four core principles of medical ethics
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A medical student perspective on self-referral and overutilization in radiology: Application of the four core principles of medical ethics

机译：医学生对放射学中自我推荐和过度使用的看法：医学伦理学四大核心原则的应用

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摘要

There is contention within the medical community surrounding imaging self-referral, in which providers refer patients to imaging facilities from which they receive financial returns. Controversy surrounds the assertion that self-referral leads to overutilization, or the application of imaging resources and services in situations in which patients are unlikely to benefit. Proponents of self-referral claim that the practice provides increased convenience, timelier diagnosis, more expeditious treatment, and decreased cost, while opponents believe that the practice results in the inappropriate ordering of unnecessary imaging studies. Given the importance of this subject and the magnitude of its potential economic impact, it is important to restore objectivity. The 4 core principles of medical ethicsautonomy, nonmaleficence, beneficence, and justicerepresent a useful and well-established paradigm. This review article addresses the question of whether self-referral upholds these 4 principles and thus whether it is an ethical practice.
机译：医学界内部围绕影像自我转诊存在争议，在这种情况下，医疗服务提供者会将患者转介给影像设施，从中他们获得经济回报。关于自我推荐会导致过度使用或在患者不太可能受益的情况下应用影像资源和服务的说法围绕着争议。自我推荐的支持者声称，这种做法提供了更多的便利，更及时的诊断，更迅速的治疗以及更低的成本，而反对者则认为这种做法导致不必要的影像学研究不恰当地排序。考虑到该主题的重要性及其潜在经济影响的程度，恢复客观性很重要。医学伦理自治，非恶意，仁慈和正义的四项核心原则代表了一种有用且完善的范例。这篇评论文章解决了自我推荐是否坚持这四个原则的问题，因此这是否是一种道德惯例。

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