Brief Article
Copyright ©2012 Baishideng Publishing Group Co., Limited. All rights reserved.
World J Radiol. Feb 28, 2012; 4(2): 44-47
Published online Feb 28, 2012. doi: 10.4329/wjr.v4.i2.44
Health care reform in the USA: Recommendations from USA and non-USA radiologists
Lauren MB Burke, Diego R Martin, Till Bader, Richard C Semelka
Lauren MB Burke, Richard C Semelka, Department of Radiology, University of North Carolina, Chapel Hill, NC 27599-7510, United States
Diego R Martin, Department of Radiology, Emory University School of Medicine, Atlanta, GA 30322, United States
Till Bader, Department of Radiology, Medical University of Vienna, Waehringer Guertel 18-20, 1090 Vienna, Austria
Author contributions: Semelka RC designed and administered the survey; Burke LMB complied the responses; Semelka RC and Burke LMB wrote the manuscript; Martin DR and Bader T edited the manuscript.
Correspondence to: Richard C Semelka, MD, Department of Radiology, University of North Carolina, CB# 7510 101 Manning Drive, Chapel Hill, North Carolina, Chapel Hill, NC 27599-7510, United States.
Telephone: +1-919-9664400 Fax: +1-919-9669143
Received: July 8, 2011
Revised: November 4, 2011
Accepted: November 11, 2011
Published online: February 28, 2012

AIM: To compare the opinions and recommendations of imaging specialists from United States (USA) and non-USA developed nations for USA health care reform.

METHODS: A survey was emailed out to 18 imaging specialists from 17 non-USA developed nation countries and 14 radiologists within the USA regarding health care reform. The questionnaire contained the following questions: what are the strengths of your health care system, what problems are present in your nation’s health care system, and what recommendations do you have for health care reform in the USA. USA and non-USA radiologists received the same questionnaire.

RESULTS: Strengths of the USA health care system include high quality care, autonomy, and access to timely care. Twelve of 14 (86%) USA radiologists identified medicolegal action as a major problem in their health care system and felt that medicolegal reform was a critical aspect of health care reform. None of the non-USA radiologists identified medicolegal aspects as a problem in their own country nor identified it as a subject for USA health care reform. Eleven of 14 (79%) USA radiologists and 16/18 (89%) non-USA radiologists identified universal health care coverage as an important recommendation for reform.

CONCLUSION: Without full universal coverage, meaningful health care reform will likely require medicolegal reform as an early and important aspect of improved and efficient health care.

Keywords: Health care reform, Health care policy