Page 55 - 2013 Hospitals/Systems Digest US.NMH.13.02.007
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HOSPI TALS/SYSTEMS WI TH MEDICAL GROUP PRACT ICES
SANOFI / MANAGED CARE DIGEST SERIES
®
/ WHERE INFORMATION BECOMES INTELLIGENCE.
™
HOSPITALS/SYSTEMS DIGEST 2013
Data source: IMS Health © 2013
Percentages of Practices Offering Mammography Rise Across All Specialties
Key Takeaway
In 2009, the U.S. Preventive Services Task Force recommended that regular mammography screening
begin for women at age 50 and recur every two years.
1
This recommendation—though not adopted
by all medical entities—may have had the effect of reducing mammograms among women in their
40s, slowing the proliferation of mammography services among medical group practices between
2010 and 2011
2
. However, the Affordable Care Act includes mammography in its requirement that
plans provide no-cost preventive services, possibly encouraging increased use of this diagnostic tool.
• Between 2010 and 2012, the portions of
practices offering mammography rose for all
eight specialties shown, and remained the
highest, by specialty, for oncology in 2012.
• Growth in this measure was sharpest, by
specialty, for cardiology groups during this time
(up 4.3 percentage points), with most of the
expansion occurring between 2011 and 2012.
Specialty Practices Increase Use of Most Imaging Modalities
• Regardless of specialty, the percentages of
medical group practices that offered four of
the five imaging modalities listed (ultrasound
excepted) expanded between 2011 and 2012.
• For example, the shares of groups offering
mammography services grew between
1.4 (OB/GYN) and 4.0 (cardiology)
percentage points during this period.
UT I L I ZAT ION
PERCENTAGE OF MEDICAL GROUP PRACTICES with imaging services, BY MODALITY
MRI
CT Scan
Ultrasound Mammography
X-Ray
SPECIALTY
2011
2012
2011
2012
2011
2012
2011
2012
2011
2012
Cardiology
18.7% 20.6% 23.8% 25.3% 62.8% 61.0% 35.7% 39.7% 78.2% 79.9%
Family Practice 7.8
8.4
9.9
10.5
33.8
33.5
26.6
29.2
95.5
95.7
General Surgery 21.9
25.0
24.3
27.2
65.9
64.6
45.7
49.1
85.9
87.4
Internal Medicine 10.8
11.5
14.0
14.5
42.4
41.2
33.8
36.6
93.2
93.6
OB/GYN
8.7
9.2
10.7
11.2
73.8
72.3
35.6
37.0
54.4
55.8
Oncology
27.6
33.8
34.3
39.9
74.4
77.0
59.8
63.7
94.1
94.6
Orthopedics
17.9
19.2
11.7
13.2
24.4
25.5
20.4
23.4
96.2
96.3
Pediatrics
11.4
12.4
14.2
15.0
39.3
38.5
33.7
36.7
95.1
95.4
0%
17%
34%
51%
68%
Percentage of Groups
Oncology
OB/GYN
General
Surgery
Cardiology
Internal
Medicine
Pediatrics
Family
Practice
Orthopedics
35.4%
35.7%
39.7%
26.1%
26.6%
29.2%
45.5%
45.7%
49.1%
33.3%
33.8%
36.6% 35.6%
35.6%
37.0%
59.6%
59.8%
63.7%
20.2%
20.4%
23.4%
33.1%
33.7%
36.7%
2010
2011
2012
PERCENTAGE OF GROUPS OFFERING MAMMOGRAPHY, BY SPECIALTY
1
U.S. Preventive Services Task Force. (2009). Screening for Breast Cancer: Recommendation Statement. Retrieved from
2
Krupa, C. (2012). Mammograms Down 6% After Guideline Change. Retrieved from
