DIAGNOSTIC-IMAGING MANAGEMENT IN MANITOBA - 1995-2000

As part of a 5-year imaging management plan being developed for the si ngle insurance carrier in Manitoba, the radiologic utilization for the province was reviewed. For the fiscal year 1993 (April 1, 1992, throu gh March 31, 1993), 1,056,694 imaging studies were performed in a tota l patient population of 1,133,117 in 81 hospitals and 39 offices in wh ich 648 units of equipment were operated by 773.4 full-time personnel at a cost of $100,302,812 (S75,227,109 in U.S. dollars). The skin dose for the total population for the year was 40,112 Gy, compared with 35 ,513 Gy in 1979. Since 1979, there has been a 9% increase in the numbe r of radiologic examinations (from 972,426 examinations), a greater ne ed for more personnel to conduct ultrasound, mammography, computed tom ography, and magnetic resonance imaging examinations, and striking cos ts escalation (from $25,082,500 to $100,302,812). Reduction of total f unding for imaging services will be possible only if the medical servi ce infrastructure and physician behavior are altered, since imaging is a support service. Hospital services must be integrated and the infra structure reduced, and physicians must adhere to guidelines and practi ce protocols for requesting consultations.