Support for this paper was provided by the Office of Rural Health Policy, Health Resources and Services Administration, PHS Grant No. CSR 000003-03-0. The authors appreciate the assistance of Colleen King and her staff in the Survey Research Center at the Institute for Health Services Research, the time and cooperation of the rural hospital administrative staff members who participated in the telephone surveys, and the secretarial support of lane Raasch.
Rural Radiology: Who is Producing Images and Who is Reading Them?
Article first published online: 28 JUN 2008
The Journal of Rural Health
Volume 13, Issue 2, pages 136–144, March 1997
How to Cite
Yawn, B., Krein, S., Christianson, J., Hartley, D. and Moscovice, I. (1997), Rural Radiology: Who is Producing Images and Who is Reading Them?. The Journal of Rural Health, 13: 136–144. doi: 10.1111/j.1748-0361.1997.tb00943.x
- Issue published online: 28 JUN 2008
- Article first published online: 28 JUN 2008
ABSTRACT: The purpose of this study is to identify the local availability and trends in local availability of imaging technology and interpretation services in rural hospitals in the northwestern United States during the period between 1991 to 1994. Another objective is to describe hospital and community factors associated with the diffusion of image production and interpretation services. The information for this study was gathered through telephone surveys of rural hospital administrators in eight northwestern states in 1991 and 1994. The availability of magnetic resonance imaging (MRI) equipment, computed tomography (CT) scanners, ultrasonography equipment, and dedicated mammography equipment increased between 1991 and 1994. The increases in MRI units were primarily in mobile equipment, while ultrasonography and mammography equipment increases were primarily fixed hospital-based units. In 1994, image interpretation in the rural hospitals was provided by both primary care and radiology physicians. Forty-six (11.5%) of the rural hospitals had no on-site radiology services and only 73 (18%) had daily radiology services. Between 1991 and 1994, 12 hospitals gained at least once-a-week radiology services, but 24 lost all radiology services. Teleradiology availability more than doubled during the three years. Radiologic technology has diffused widely into rural communities in this region of the United States at differing rates for large and small hospitals. Radiologists are available to these hospitals only 46 percent of the days each year, with more days of availability in the larger hospitals and fewer days in the smaller hospitals. Teleradiology capability is increasing more rapidly in the larger hospitals that have radiologists more readily available