A survey of emergency physicians provides insight into reasons behind the estimated $210 billion spent annually on medically unnecessary tests and procedures.”Physicians said they feel tremendous pressure not to be wrong, while acknowledging that some of the tests they order are for non-medical reasons,” said lead author Hemal Kanzaria, MD, an emergency physician at the University of California, Los Angeles, and a Robert Wood Johnson Foundation Clinical Scholar with support from the U.S. Department of Veterans Affairs.Over 85% of the 435 emergency physicians surveyed said they believe that too many diagnostic tests are ordered in their own departments. Even more striking, almost all respondents (97%) acknowledged personally ordering some “medically unnecessary” radiology tests, defined as imaging studies the physician would not order if there were no external pressures and s/he was only concerned with providing optimal medical care.
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