Nationwide Utilization of Computerized Dynamic Posturography in an Era of Deimplementation

被引：5

作者：

Chieffe, Douglas J. ^{[1
,4
]}

Zuniga, Steven A. ^{[1
]}

Marmor, Schelomo ^{[2
,3
]}

Adams, Meredith E. ^{[1
]}

机构：

[1] Univ Minnesota, Dept Otolaryngol Head & Neck Surg, Minneapolis, MN USA

[2] Univ Minnesota, Dept Surg, Minneapolis, MN USA

[3] Univ Minnesota, Ctr Qual Outcomes & Discovery C QODE, Dept Surg, Minneapolis, MN USA

[4] 420 Delaware St,MMC 396, Minneapolis, MN 55455 USA

来源：

OTOLARYNGOLOGY-HEAD AND NECK SURGERY | 2023年 / 169卷 / 04期

关键词：

computerized dynamic posturography; fall risk; health policy; health services; vestibular test; MANAGEMENT;

D O I：

10.1002/ohn.333

中图分类号：

R76 [耳鼻咽喉科学];

学科分类号：

100213 ;

摘要：

Computerized dynamic posturography (CDP) provides multisensory assessment of balance. Consensus is lacking regarding CDP utility and coverage determinations vary. To inform best practices and policy, this cross-sectional study quantifies provider use of CDP among Medicare beneficiaries over time (2012-2017), by geographic region (hospital referral region [HRR]), and specialty. We observed 195,267 beneficiaries underwent 212,847 CDP tests totaling $15,780,001 in payments. Number of CDPs billed per 100,000 beneficiaries varied 534-fold across HRRs. Over 6 years, CDP use grew by 84% despite stagnant reimbursement. More utilization was attributable to primary care clinicians than specialties focused on care for dizziness and balance disorders. The observed growth and variation illustrate the potential for policy and provider preferences to drive unexpected practice patterns and underscore the need to engage a broad network of providers to develop optimal guidelines for use. CDP may offer a use case for deimplementation of low-value diagnostic services.

引用

页码：1090 / 1093

页数：4

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