Concierge and Second-Opinion Radiology: Review of Current Practices
Shaikh S, Bafana R, and Halabi SS. Concierge and second-opinion radiology: Review of current practices. Curr Probl Diagn Radiol 2016 Mar-Apr;45(2):111-4.
Current problems in diagnostic radiology
Radiology's core assets include the production, interpretation, and distribution of quality imaging studies. Second-opinion services and concierge practices in radiology aim to augment traditional services by providing patient-centered and physician-centered care, respectively. Patient centeredness enhances patients' understanding and comfort with their radiology tests and procedures and allows them to make better decisions about their health care. As the fee-for-service paradigm shifts to value-based care models, radiology practices have begun to diversify imaging service delivery and communication to coincide with the American College of Radiology Imaging 3.0 campaign. Physician-centered consultation allows for communication of evidence-based guidelines to assist referring physicians and other providers in making the most appropriate imaging or treatment decision for a specific clinical condition. There are disparate practice models and payment schema for the various second-opinion and concierge practices. This review article explores the current state and payment models of second-opinion and concierge practices in radiology. This review also includes a discussion on the benefits, roadblocks, and ethical issues that surround these novel types of practices.
Medical Subject Headings
Concierge Medicine; Humans; Practice Management, Medical; Practice Patterns, Physicians'; Radiology; Referral and Consultation