Maintaining Excellence and Expertise Within Medical Imaging: A Sustainable Practice?
Exploring the sustainability of contemporary healthcare remains paramount. Medical imaging is a central part of the hospital environment, whereby various imaging examinations are undertaken for patients with suspected health diseases and conditions. This chapter examines three areas that not only currently underpin the medical imaging profession but also challenge its application clinically and how it may or may not be sustainable for future generations. The author discusses technological advances, patient care, use of ionising radiation and education/role development of diagnostic radiographers within the general radiography. General radiography constitutes approximately 90% of all medical imaging examinations undertaken in the United Kingdom, thus important to focus upon when discussing ‘sustainable futures’ of the medical imaging profession. Further, these discussions may help predict trends in other modalities within the profession. By identifying areas for improvement and/or challenging current norms pertinent to sustainable futures, it can help achieve optimum healthcare delivery within the National Health Service and other organisations nationally and internationally. The discussions within this chapter are likely to resonate with peers globally and thus may help instigate discussions relevant to their clinical environment(s).
KeywordsIonising radiation Medical imaging Sustainable healthcare Patient care Anthropocentrism
- Allison, W. (2009). Radiation and reason – The impact on a culture of fear. York: Wade Allison Publishing.Google Scholar
- Atkinson, P., & Hammersley, M. (2007). Ethnography – Principles in practice (3rd ed.). New York: Routledge.Google Scholar
- Bacher, K., Smeets, P., Bonnarens, K., De Hauwere, A., Verstraete, K., & Thierens, H. (2003). Dose reduction in patients undergoing chest imaging: Digital amorphous silicon flat-panel detector radiography versus conventional film-screen radiography and phosphor-based computed radiography. American Journal of Roentgenology, 181(4), 923–929.CrossRefGoogle Scholar
- Becker, H. S., Geer, B., Hughes, E. C., & Strauss, A. L. (1961). Boys in white – Student culture in medical school. New Brunswick: Transaction Publishers.Google Scholar
- Buchanan, D. A., Fitzgerald, L., & Ketley, D. (2007). The sustainability and spread of organizational change. London: Routledge.Google Scholar
- Consumer Rights Act. (2015). Consumer Rights Act 2015. [Online] Available at: http://www.legislation.gov.uk/ukpga/2015/15/pdfs/ukpga_20150015_en.pdf. Accessed 12 Dec 2016.
- Department of Health. (2013). Report of the Mid Staffordshire NHS Foundation Trust public inquiry. [Online] Available at: https://www.gov.uk/government/publications/report-of-the-mid-staffordshire-nhs-foundation-trust-public-inquiry. Accessed 30 Aug 2017.
- Department of Health. (2015). The NHS Constitution for England. [Online] Available at: https://www.gov.uk/government/publications/the-nhs-constitution-for-england. Accessed 30 Aug 2017.
- Department of Health. (2017). Ionising Radiation (Medical Exposure) Regulations 2000 (IRMER). [Online] Available at: https://www.gov.uk/government/publications/the-ionising-radiation-medical-exposure-regulations-2000. Accessed 30 Aug 2017.
- Drennan, D. (1992). Transforming company culture. London: Mcgraw-Hill.Google Scholar
- Fett, M. (2000). Technology, health and health care. Canberra: Commonwealth Department of Health and Aged Care.Google Scholar
- Godwin, T. (2010). Corporate social responsibility strategy 2010–2013. [Online] Available at: http://www.met.police.uk/about/documents/csr_strategy.pdf. Accessed 18 Jan 2017.
- Hammersley, M. (1992). What’s wrong with ethnography. New York: Routledge.Google Scholar
- Hayre, C. M. (2016a). Radiography observed: An ethnographic study exploring contemporary radiographic practice. Ph.D. thesis, Canterbury Christ Church University.Google Scholar
- Health Protection Agency. (2011). Scale of UK exposure to X-rays revealed. [Online] Available at: http://www.hpa.org.uk. Accessed 06 May 2011.
- Holliday, A. (2016). Doing and writing qualitative research (3rd ed.). London: Sage.Google Scholar
- International Commission on Radiological Protection. (2007). Annuals of the ICRP. Exeter: Elsevier.Google Scholar
- Jacques, P. (2015). Sustainability: The basics. London: Routledge.Google Scholar
- Malinowski, B. (1923). The problem of meaning in primitive languages. In C. K. Ogden & I. A. Richards (Eds.), The meaning of meaning (pp. 146–152). London: Routledge & Kegan Paul.Google Scholar
- National Health Service. (2017). Studying nursing. [Online]. Available at: https://www.healthcareers.nhs.uk/I-am/considering-or-university/studying-nursing. Accessed 18 Jan 2017.
- Philips B. (2011). Create a premium DR room like no other. [Online] Available at: http://www.healthcare.philips.com/us_en/products/xray/products/radiography/digital/digitaldiagnost/. Accessed 30 Aug 2017.
- Porter, M. E., & Kramer, M. R. (2011). The big idea: Creating shared value. Harvard Business Review. January–February.Google Scholar
- Royal College of Radiologists. (2015a). Sustainable future for diagnostic radiology: Working for alternative and/or multiple providers. [Online] Available at: https://www.rcr.ac.uk/publication/sustainable-future-diagnostic-radiology-working-alternative-andor-multiple-providers. Accessed 30 Aug 2017.
- Royal College of Radiologists. (2015b). Sustainable future for diagnostic radiology: Flexible home working. [Online] Available at: https://www.rcr.ac.uk/publication/sustainable-future-diagnostic-radiology-flexible-home-working. Accessed 30 Aug 2017.
- Royal College of Radiologists. (2016). Sustainable future for diagnostic radiology: Lifelong learning: Delivering education and training for a sustainable workforce. [Online] Available at: https://www.rcr.ac.uk/system/files/publication/field_publication_files/bfcr161_sustainable_learning.pdf. Accessed 30 Aug 2017.
- Royal College of Radiologists. (2017). The radiology crisis in Scotland: Sustainable solutions are needed now. [Online]. Available at: https://www.rcr.ac.uk/posts/radiology-crisis-scotland-sustainable-solutions-are-needed-now. Accessed 30 Aug 2017.
- Scott, J. (2010) Royal United Hospital Bath NHS Trust. [Online] Available at: http://www.ruh.nhs.uk/about/annual_report/documents/social_responsibility_report_2009-10.pdf. Accessed 31 Jan 2018.
- Scotch, N. A. (1963). Medical anthropology. Biennial Review of Anthropology, 3, 30–68.Google Scholar
- Seeram, E. (2011). Digital radiography: An introduction for technologists. Burnaby, BC: British Columbia Institute of Technology.Google Scholar
- Society of Radiographers. (2016). Reforming healthcare education funding: Creating a sustainable future workforce. Available at: https://www.sor.org/sites/default/files/scor_response_to_reforming_healthcare_education_funding_consultation_1.pdf. Accessed 30 Aug 2017.
- Society of Radiographers. (2017a). Advanced practitioner. [Online] Available at: https://www.sor.org/learning/document-library/education-and-professional-development-strategy-new-directions/advanced-practitioner. Accessed 30 Aug 2017.
- Society of Radiographers. (2017b). Radiographers need to be further educated enhance roles. [Online] Available at: https://www.sor.org/news/radiographers-need-be-further-educated-enhance-roles. Accessed 30 Aug 2017.
- Strotzer, M., Gmeinwieser, J. K., Volk, M., Frund, R., Seitz, J., & Feuerbach, S. (1998). Detection of simulated chest lesions with reduced radiation dose: Comparison of conventional screen-film radiography and a flat-panel X-ray detector based on amorphous silicon (a-Si). Investigative Radiology, 33(2), 98–103.CrossRefGoogle Scholar
- Teeside University. (2017). PgDip/MSc diagnostic radiography (pre-registration). [Online] Available at: http://www.tees.ac.uk/Postgraduate_courses/Health_&_Social_Care/PgDip_MSc_Diagnostic_Radiography_(pre-registration).cfm.
- Trompenaars, F., & Hampden-Turner, C. (2011). Riding the waves of culture: Understanding cultural diversity in business (2nd ed.). London: Nicholas Brealey Publishing.Google Scholar
- Turner, C. (2017/February). Students turn back on nursing degrees in wake of Government decision to axe NHS bursaries, official figures suggest. The telegraph. [Online] Available at: http://www.telegraph.co.uk/education/2017/02/02/students-turn-backs-nursing-degrees-wake-government-decision/. Accessed 30 Aug 2017.
- Tylor, E. B. (1884). American aspects of anthropology. Popular Science Monthly, 26, 152.168.Google Scholar
- University of Derby. (2017). MSc diagnostic radiography (pre-registration). [Online] Available at: http://www.derby.ac.uk/courses/postgraduate/diagnostic-radiography-msc/. Accessed 18 Jan 2017.
- University of London. (2014). Corporate social responsibility. [Online] Available at: http://www.london.ac.uk/5634.html. Accessed 01 Jan 2017.
- University of Manchester. (2016). Social responsibility. [Online] Available at: http://www.manchester.ac.uk/discover/social-responsibility/. Accessed 18 Jan 2017.
- Universities UK (2015). Patterns and trends in UK higher education. [Online] Available at: http://www.universitiesuk.ac.uk/policy-and-analysis/reports/Documents/2015/patterns-and-trends-2015.pdf. Accessed: 01 Dec 2016.
- Volk, M., Strotzer, M., Holzknecht, N., Manke, C., Lenhart, M., Gmeinwieser, J., Link, J., Reiser, M., & Feuerback, S. (2000). Digital radiography of the skeleton using a large-area detector based on amorphous silicon technology: Image quality and potential for dose reduction in comparison with screen-film radiography. Clinical Radiology, 55(8), 615–621.CrossRefGoogle Scholar