The inappropriateness of brain MRI prescriptions: a study from Iran

Abstract Background Inappropriate prescriptions can lead to adverse consequences for patients. It also imposes excessive cost on the patients, payers and health systems. The current study aimed at estimating rate of inappropriate brain Magnetic Resonance Imaging (MRI) their financial burden in Iran. Methods Using systematic stratified sampling method, this cross-sectional recruited 385 participants from three public teaching hospitals Shiraz, Demographic information, questions related MRI prescription its indications checklist were collected using study-specific data collection tools. completed was compared appropriateness status table scenarios detect percent prescriptions. Results About 21 percentage total are inappropriate. Previous treatment, number referrals physician, having other diagnostic tests applicant (P < 0.01) had significant relationships with appropriateness. estimated MRIs Shiraz 99,988 US dollar 2017. Conclusions More than one-fifth brains (i.e. without medical indications). caused United States Dollar (USD) which is 17 times that Iran's Gross Domestic Product (GDP) per capita. To better allocate resources provision services system, rationing policies controlling moral hazard reducing provider induced demand be helpful.