Community Medicine und Diagnostische Radiologie

Zusammenfassung

Community Medicine befasst sich mit den so genannten Volkskrankheiten, der Lebensqualität und der Effizienz diagnostischer und therapeutischer Verfahren unter den Bedingungen der ambulanten Versorgung. Zu ihren Partnerdisziplinen gehört auch die Diagnostische Radiologie. Programme der Community Medicine profitieren in allen Phasen der Durchführung von bildgebender Diagnostik. Wichtige radiologische Arbeitsgebiete (Osteodensitometrie, Mammographie, Gefäß- und Thoraxradiologie) sind bereits aus der Sicht der Community Medicine begutachtet worden. Für die Differenzialindikation der Schnittbildverfahren und der Teleradiologie steht eine vergleichbar umfangreiche Prüfung noch aus. Bei der weiteren Erforschung der Beziehungen zwischen Community Medicine und Radiologie muss methodisches Neuland (Entscheidungsbäume, Modelle, Kosten-Nutzen-Analysen) betreten werden. Auf diese Weise werden die Mechanismen aufgedeckt, die den Transfer von radiologischen Studienergebnissen in die so genannte gute klinische Praxis steuern.

Abstract

The main topics of community medicine are widespread diseases, quality of life and the efficiency of diagnostic and therapeutic procedures under out-patient conditions. Among its allied disciplines, diagnostic radiology is of some importance. Studies in community medicine take advantage of diagnostic imaging in all stages of their development. Many fields of radiologic activity (bone absorptiometry, mammography, vascular and chest radiology) have been examined by community medicine researchers. A similar evaluation of differential indications for cross-sectional imaging and teleradiology is still to be expected. In order to increase the research on interrelations between the two disciplines, radiologists have to set foot on new grounds of scientific methods (decision trees, models, cost-efficiency analysis). In this way, the mechanisms that control the transfer of research into the so-called good radiological practice can be clarified.

Schlüsselwörter

Community Medicine - Diagnostische Radiologie - Screening - Entscheidungsbaum - Kosten-Nutzen-Analyse

Key words

Community medicine - Diagnostic radiology - Screening procedures - Decision tree - Cost efficiency analysis

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