UNSPECIFIED (2000) Creating a strategic management plan for magnetic resonance imaging (MRI) provision. HEALTH POLICY, 53 (2). pp. 91-104. ISSN 0168-8510

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Abstract

We were commissioned by the West Midlands NHS Regional Specialized Services Group (RSSG) to formulate a strategic plan for the management of Magnetic Resonance Imaging (MRI) within the West Midlands, UK. We needed to establish whether an increase in MRI provision was required, and if so to develop criteria to shape both the nature and location of MRI provision. We found that the UK had relatively low MRI provision per capita by international standards, and that the West Midlands region of the UK had less than the UK average level of MRI provision per capita. Within the region there was a 'mixed economy' of MRI provision involving fixed site scanners owned by the NHS and private companies, and private sector mobile MRI provision. There was little evidence of inappropriate MRI use, but considerable evidence of under-provision. Most MRI scanners in the region were heavily utilized, and average waiting times for MRI frequently exceeded guidelines (of a maximum 13-week wait for non-urgent MRI scans). Projections from NHS Trusts, MRI suppliers, and experts in the MRI field, led us to the conclusion that demand for MRI was likely to grow by between 12.5 and 18.5% per annum. This implies that 8-14 additional MRI scanners might be required within the West Midlands over the next 5 years, to meet existing, and rising demand for MRI. We therefore developed criteria (outlined in the paper) to enhance the productive and allocative efficiency of the deployment of MRI provision, whilst improving the configuration of MRI with reference to geographical equality of access to MRI. (C) 2000 Elsevier Science Ireland Ltd. All rights reserved.

Item Type:	Journal Article
Subjects:	H Social Sciences > HV Social pathology. Social and public welfare
Journal or Publication Title:	HEALTH POLICY
Publisher:	ELSEVIER SCI IRELAND LTD
ISSN:	0168-8510
Date:	September 2000
Volume:	53
Number:	2
Number of Pages:	14
Page Range:	pp. 91-104
Publication Status:	Published
URI:	http://wrap.warwick.ac.uk/id/eprint/13142

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