Originally written for publication during ECR 2020 in March on the occasion of a planned Coffee & Talk session, ‘Value in radiology: in the eye of the beholder’, and updated in June 2020.
The ESR’s position on value-based trends in healthcare in general, and radiology in particular, was set out in a concept paper on value-based radiology published by the ESR in Insights into Imaging in August 2017. Within radiology, the issue of volume-based vs. value-based practice had been debated for a number of years. In recognition of the importance of this emerging paradigm, the ESR’s working group on value-based imaging formally became the ESR’s Value-Based Radiology Subcommittee in 2018. The subcommittee has continued with the working group’s task of leading the ESR’s response to trends within healthcare that increasingly emphasise value-based aspects in relation to quality of care, patient safety and reimbursement systems. The subcommittee reports to the ESR Board of Directors.
The ESR sees value-based radiology as a paradigm that complements and enhances its existing approach to quality and safety, while focusing on what actually matters most to professionals, patients and payers: value. However, coming to a clear definition of what ‘value’ actually means to different groups is not as straightforward as it may seem. With this in mind, in 2019, the Value-Based Radiology Subcommittee has been collaborating with representatives from the American College of Radiology (ACR), Canadian Association of Radiologists (CAR), International Society for Strategic Studies in Radiology (IS3R), Royal Australian and New Zealand College of Radiologists (RANZCR), and the Radiological Society of North America (RSNA) to produce a joint paper aiming to both locate radiology firmly within the wider concept of value-based healthcare, and to set out ways in which radiologists can seek to improve the value that they contribute to outcomes.
In 2019, the VBR Subcommittee conducted a survey of patients across Europe in an attempt to better understand how patients perceive value in radiology. The survey received 400 responses from 22 countries. The data collected has now been analysed and the VBR Subcommittee aims to publish the results in 2020.