Not just about machines: Analysis of MRI quality determinants in the Turkish health system context

Date

2021-11-01

Author

Özen, İlhan Can

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This study aims to investigate the determinants of the qualityMRI in the Turkish healthcare system. The analysis is doneby analysing the referred cases to a major university radiologydepartment in Turkey, and matching the hospital and MRIuse characteristics of the source institutions, where the originalMRI was taken. Quality of MRI was measured by specialistradiologists. The resulting quality was analysed by genderand imaging area characteristics, source institutional quality,MRI use statistics in source institution and MRI machine useinclination of the source institution. Chi-square and logisticregression were conducted, with regional fixed effects.In the largest dataset, the highest quality institutions havesignificantly higher average expected MRI quality comparedto one level beneath them (0.74 vs. 0.63) (P = 0.02), there isalso a significant MRI quality difference between the secondhighest level of institution, and the third and the fourth(0.63–0.54). Smaller (<0.1) but significant quality difference(P = 0.05) exists for institutions with the lowest two qualitylevels. In the smaller dataset, with data only from the lowesttwo institutional quality groups, with a finer institutionalquality grading, differences in institutional quality is againfound to be a significant driver of MRI quality (P = 0.035).

Subject Keywords

Health economics, Health system development, MRI quality, Turkey

URI

https://hdl.handle.net/11511/94349

Journal

International Journal Of Health Planning And Management

DOI

https://doi.org/10.1002/hpm.3373

Collections

Department of Economics, Article

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Citation Formats

İ. C. Özen, “Not just about machines: Analysis of MRI quality determinants in the Turkish health system context,” International Journal Of Health Planning And Management, vol. 36, no. 6, pp. 25–36, 2021, Accessed: 00, 2021. [Online]. Available: https://hdl.handle.net/11511/94349.