{"id":"https://openalex.org/W7214991997","doi":"https://doi.org/10.3389/fpubh.2026.1904169","title":"Development of a digital cloud imaging platform based on a \u201cpay-for-performance\u201d model: an empirical study on cost control and resource conservation","display_name":"Development of a digital cloud imaging platform based on a \u201cpay-for-performance\u201d model: an empirical study on cost control and resource conservation","publication_year":2026,"publication_date":"2026-09-30","ids":{"openalex":"https://openalex.org/W7214991997","doi":"https://doi.org/10.3389/fpubh.2026.1904169","pmid":"https://pubmed.ncbi.nlm.nih.gov/42876483","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/13661373"},"language":"en","primary_location":{"id":"doi:10.3389/fpubh.2026.1904169","doi":"https://doi.org/10.3389/fpubh.2026.1904169","is_oa":true,"landing_page_url":"https://doi.org/10.3389/fpubh.2026.1904169","pdf_url":"https://www.frontiersin.org/journals/public-health/articles/10.3389/fpubh.2026.1904169/pdf","source":{"id":"https://openalex.org/S2595931848","display_name":"Frontiers in Public Health","issn_l":"2296-2565","issn":["2296-2565"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-scientific","cwts-core","doaj","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320527","host_organization_name":"Frontiers Media","host_organization_lineage":["https://openalex.org/P4310320527"],"host_organization_lineage_names":["Frontiers Media"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in Public Health","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://www.frontiersin.org/journals/public-health/articles/10.3389/fpubh.2026.1904169/pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5153653962","display_name":"Xingbo Long","orcid":"https://orcid.org/0009-0001-4723-1178","observed_orcids":["https://orcid.org/0009-0001-4723-1178"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Xingbo Long","raw_affiliation_strings":["Department of Medical and Information Engineering, Deyang People\u2019s Hospital"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Medical and Information Engineering, Deyang People\u2019s Hospital","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5153666782","display_name":"Min Huang","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":true,"raw_author_name":"Min Huang","raw_affiliation_strings":["Department of Quality Improvement, Deyang People\u2019s Hospital"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Quality Improvement, Deyang People\u2019s Hospital","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5153554294","display_name":"Qing Ye","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Qing Ye","raw_affiliation_strings":["Department of Medical and Information Engineering, Deyang People\u2019s Hospital"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Medical and Information Engineering, Deyang People\u2019s Hospital","institution_ids":[]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5153669589","display_name":"Xu Liu","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Xu Liu","raw_affiliation_strings":["Department of Medical and Information Engineering, Deyang People\u2019s Hospital"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Medical and Information Engineering, Deyang People\u2019s Hospital","institution_ids":[]}]}],"institutions":[],"countries_distinct_count":0,"institutions_distinct_count":0,"corresponding_author_ids":["https://openalex.org/A5153666782"],"corresponding_institution_ids":[],"apc_list":{"value":3150,"currency":"CHF","value_usd":3801},"apc_paid":{"value":3150,"currency":"CHF","value_usd":3801},"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.66961793,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"14","issue":null,"first_page":"1904169","last_page":"1904169"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10350","display_name":"Electronic Health Records Systems","score":0.361299991607666,"subfield":{"id":"https://openalex.org/subfields/3605","display_name":"Health Information Management"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10350","display_name":"Electronic Health Records Systems","score":0.361299991607666,"subfield":{"id":"https://openalex.org/subfields/3605","display_name":"Health Information Management"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11894","display_name":"Radiology practices and education","score":0.2615000009536743,"subfield":{"id":"https://openalex.org/subfields/2741","display_name":"Radiology, Nuclear Medicine and Imaging"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T13555","display_name":"Healthcare cost, quality, practices","score":0.04740000143647194,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/picture-archiving-and-communication-systems","display_name":"PACS","score":0.6069999933242798},{"id":"https://openalex.org/keywords/hybrid-cloud-architecture","display_name":"hybrid cloud architecture","score":0.8640000224113464},{"id":"https://openalex.org/keywords/clinical-workflow-efficiency","display_name":"clinical workflow efficiency","score":0.6909999847412109},{"id":"https://openalex.org/keywords/report-turnaround-time","display_name":"report turnaround time","score":0.7870000004768372},{"id":"https://openalex.org/keywords/patient-satisfaction","display_name":"patient satisfaction","score":0.9629999995231628},{"id":"https://openalex.org/keywords/hospital-digital-transformation","display_name":"hospital digital transformation","score":0.6110000014305115},{"id":"https://openalex.org/keywords/public-hospitals","display_name":"public hospitals","score":0.7300000190734863},{"id":"https://openalex.org/keywords/resource-conservation","display_name":"resource conservation","score":0.6200000047683716},{"id":"https://openalex.org/keywords/china","display_name":"China","score":0.34599998593330383},{"id":"https://openalex.org/keywords/interrupted-time-series-analysis","display_name":"interrupted time series","score":0.6790000200271606}],"concepts":[{"id":"https://openalex.org/C79974875","wikidata":"https://www.wikidata.org/wiki/Q483639","display_name":"Cloud computing","level":2,"score":0.8055999875068665},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.6129000186920166},{"id":"https://openalex.org/C31601959","wikidata":"https://www.wikidata.org/wiki/Q931309","display_name":"Medical imaging","level":2,"score":0.46149998903274536},{"id":"https://openalex.org/C120936955","wikidata":"https://www.wikidata.org/wiki/Q2155640","display_name":"Empirical research","level":2,"score":0.43459999561309814},{"id":"https://openalex.org/C112416745","wikidata":"https://www.wikidata.org/wiki/Q974213","display_name":"Digital imaging","level":5,"score":0.3847000002861023},{"id":"https://openalex.org/C2983819522","wikidata":"https://www.wikidata.org/wiki/Q483639","display_name":"Cloud service provider","level":4,"score":0.38260000944137573},{"id":"https://openalex.org/C172497479","wikidata":"https://www.wikidata.org/wiki/Q302208","display_name":"Capital expenditure","level":2,"score":0.3718999922275543},{"id":"https://openalex.org/C195094911","wikidata":"https://www.wikidata.org/wiki/Q14167904","display_name":"Process management","level":1,"score":0.35830000042915344},{"id":"https://openalex.org/C199521495","wikidata":"https://www.wikidata.org/wiki/Q181487","display_name":"Audit","level":2,"score":0.34619998931884766},{"id":"https://openalex.org/C2780378061","wikidata":"https://www.wikidata.org/wiki/Q25351891","display_name":"Service (business)","level":2,"score":0.3384999930858612},{"id":"https://openalex.org/C21547014","wikidata":"https://www.wikidata.org/wiki/Q1423657","display_name":"Operations management","level":1,"score":0.325300008058548},{"id":"https://openalex.org/C2775924081","wikidata":"https://www.wikidata.org/wiki/Q55608371","display_name":"Control (management)","level":2,"score":0.3237000107765198},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.321399986743927},{"id":"https://openalex.org/C206345919","wikidata":"https://www.wikidata.org/wiki/Q20380951","display_name":"Resource (disambiguation)","level":2,"score":0.32030001282691956},{"id":"https://openalex.org/C2522767166","wikidata":"https://www.wikidata.org/wiki/Q2374463","display_name":"Data science","level":1,"score":0.311599999666214},{"id":"https://openalex.org/C2779891985","wikidata":"https://www.wikidata.org/wiki/Q46994","display_name":"Telemedicine","level":3,"score":0.31040000915527344},{"id":"https://openalex.org/C121017731","wikidata":"https://www.wikidata.org/wiki/Q11661","display_name":"Information technology","level":2,"score":0.3091999888420105},{"id":"https://openalex.org/C39896193","wikidata":"https://www.wikidata.org/wiki/Q380344","display_name":"Descriptive statistics","level":2,"score":0.30869999527931213},{"id":"https://openalex.org/C116537","wikidata":"https://www.wikidata.org/wiki/Q2169973","display_name":"Service provider","level":3,"score":0.3077000081539154},{"id":"https://openalex.org/C165998758","wikidata":"https://www.wikidata.org/wiki/Q1038886","display_name":"Imaging technology","level":2,"score":0.3061000108718872},{"id":"https://openalex.org/C112930515","wikidata":"https://www.wikidata.org/wiki/Q4389547","display_name":"Risk analysis (engineering)","level":1,"score":0.2799000144004822},{"id":"https://openalex.org/C75684735","wikidata":"https://www.wikidata.org/wiki/Q858810","display_name":"Big data","level":2,"score":0.2775999903678894},{"id":"https://openalex.org/C145642194","wikidata":"https://www.wikidata.org/wiki/Q870895","display_name":"Health informatics","level":3,"score":0.2757999897003174},{"id":"https://openalex.org/C157062255","wikidata":"https://www.wikidata.org/wiki/Q5035697","display_name":"Capital cost","level":2,"score":0.2757999897003174},{"id":"https://openalex.org/C2777019752","wikidata":"https://www.wikidata.org/wiki/Q1509084","display_name":"Hospital information system","level":3,"score":0.2709999978542328},{"id":"https://openalex.org/C21333345","wikidata":"https://www.wikidata.org/wiki/Q1519843","display_name":"Health technology","level":3,"score":0.26840001344680786},{"id":"https://openalex.org/C133462117","wikidata":"https://www.wikidata.org/wiki/Q4929239","display_name":"Data collection","level":2,"score":0.26429998874664307},{"id":"https://openalex.org/C201995342","wikidata":"https://www.wikidata.org/wiki/Q682496","display_name":"Systems engineering","level":1,"score":0.2630999982357025},{"id":"https://openalex.org/C1668388","wikidata":"https://www.wikidata.org/wiki/Q1149776","display_name":"Data management","level":2,"score":0.2614000141620636},{"id":"https://openalex.org/C151406439","wikidata":"https://www.wikidata.org/wiki/Q186588","display_name":"Time series","level":2,"score":0.26010000705718994},{"id":"https://openalex.org/C180198813","wikidata":"https://www.wikidata.org/wiki/Q121182","display_name":"Information system","level":2,"score":0.25870001316070557},{"id":"https://openalex.org/C24338571","wikidata":"https://www.wikidata.org/wiki/Q2566298","display_name":"Autoregressive integrated moving average","level":3,"score":0.25450000166893005},{"id":"https://openalex.org/C19527686","wikidata":"https://www.wikidata.org/wiki/Q1665453","display_name":"System integration","level":2,"score":0.25209999084472656},{"id":"https://openalex.org/C175079658","wikidata":"https://www.wikidata.org/wiki/Q7312165","display_name":"Remote patient monitoring","level":2,"score":0.2513999938964844}],"mesh":[{"descriptor_ui":"D000067917","descriptor_name":"Cloud Computing","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":true},{"descriptor_ui":"D002681","descriptor_name":"China","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003363","descriptor_name":"Cost Control","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":false},{"descriptor_ui":"D006779","descriptor_name":"Hospitals, Public","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D065186","descriptor_name":"Interrupted Time Series Analysis","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":4,"locations":[{"id":"doi:10.3389/fpubh.2026.1904169","doi":"https://doi.org/10.3389/fpubh.2026.1904169","is_oa":true,"landing_page_url":"https://doi.org/10.3389/fpubh.2026.1904169","pdf_url":"https://www.frontiersin.org/journals/public-health/articles/10.3389/fpubh.2026.1904169/pdf","source":{"id":"https://openalex.org/S2595931848","display_name":"Frontiers in Public Health","issn_l":"2296-2565","issn":["2296-2565"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-scientific","cwts-core","doaj","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320527","host_organization_name":"Frontiers Media","host_organization_lineage":["https://openalex.org/P4310320527"],"host_organization_lineage_names":["Frontiers Media"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in Public Health","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:13661373","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13661373/","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13661373/pdf/fpubh-14-1904169.pdf","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Front Public Health","raw_type":"Text"},{"id":"pmid:42876483","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42876483","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in public health","raw_type":"Journal Article"},{"id":"pmh:oai:doaj.org/article:142780680f4e49d3a70a8152db8d2bff","doi":null,"is_oa":false,"landing_page_url":"https://doaj.org/article/142780680f4e49d3a70a8152db8d2bff","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Frontiers in Public Health, Vol 14 (2026)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.3389/fpubh.2026.1904169","doi":"https://doi.org/10.3389/fpubh.2026.1904169","is_oa":true,"landing_page_url":"https://doi.org/10.3389/fpubh.2026.1904169","pdf_url":"https://www.frontiersin.org/journals/public-health/articles/10.3389/fpubh.2026.1904169/pdf","source":{"id":"https://openalex.org/S2595931848","display_name":"Frontiers in Public Health","issn_l":"2296-2565","issn":["2296-2565"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-scientific","cwts-core","doaj","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320527","host_organization_name":"Frontiers Media","host_organization_lineage":["https://openalex.org/P4310320527"],"host_organization_lineage_names":["Frontiers Media"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in Public Health","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":0.8048999905586243},{"id":"https://metadata.un.org/sdg/9","display_name":"Industry, innovation and infrastructure","score":0.4943999946117401}],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7214991997.pdf","grobid_xml":"https://content.openalex.org/works/W7214991997.grobid-xml"},"referenced_works_count":5,"referenced_works":["https://openalex.org/W2795266077","https://openalex.org/W3121491798","https://openalex.org/W4408437718","https://openalex.org/W4409788562","https://openalex.org/W7125642492"],"related_works":["https://openalex.org/W7147729117","https://openalex.org/W2461148619","https://openalex.org/W7208762642","https://openalex.org/W2016862907","https://openalex.org/W2366347481","https://openalex.org/W1999779902","https://openalex.org/W131620566","https://openalex.org/W2009704547","https://openalex.org/W1976022358","https://openalex.org/W839590576"],"abstract_inverted_index":{"Introduction":[0],"Traditional":[1],"physical":[2,159],"film-based":[3],"imaging":[4,28,72,117,127,181,371],"services":[5],"impose":[6],"a":[7,25,31,60,134,141,269,276,304,354],"heavy":[8],"financial":[9,411],"and":[10,39,53,64,173,194,208,219,373,377,385,413,424],"operational":[11],"burden":[12],"on":[13,43,133,245],"public":[14],"hospitals.":[15],"This":[16],"study":[17,79,104,111,396],"aims":[18],"to":[19,107,149,213,253,262,392,402],"evaluate":[20],"the":[21,55,68,91,103,110,145,151,169,174,178,186,204,225,234,237,248,310,335,346,360,368,395,404],"actual":[22,227],"effectiveness":[23],"of":[24,46,71,177,233,242,271,316,337,348,367,406,416],"digital":[26,69,179,369],"cloud":[27,136,180,370],"platform\u2014deployed":[29],"under":[30],"model":[32,366,418],"where":[33],"\u201cservice":[34,361],"providers":[35],"make":[36],"upfront":[37,154,363],"investments":[38],"hospitals":[40],"pay":[41],"based":[42],"performance\u201d\u2014in":[44],"terms":[45],"controlling":[47],"medical":[48],"costs,":[49,379],"optimizing":[50],"clinical":[51],"workflows,":[52],"enhancing":[54],"patient":[56,301,388],"experience,":[57],"thereby":[58,223],"providing":[59],"replicable":[61],"management":[62],"pathway":[63],"empirical":[65],"evidence":[66,399],"for":[67,94,255,287],"transformation":[70],"services.":[73],"Methods":[74],"A":[75],"single-center,":[76,351],"quasi-experimental":[77,352],"before-and-after":[78],"design":[80],"was":[81,131,147,166,257,332,357],"adopted,":[82],"supplemented":[83],"by":[84,313],"interrupted":[85,209,295],"time":[86,210,250,296,336],"series":[87,211,297],"(ITS)":[88],"analysis":[89,212,298],"as":[90,102],"primary":[92],"method":[93],"causal":[95],"inference,":[96],"with":[97,140,161],"Deyang":[98],"People\u2019s":[99],"Hospital":[100],"serving":[101],"site.":[105],"Prior":[106],"project":[108,221],"implementation,":[109,120,222],"included":[112,122],"data":[113,123,165,217],"from":[114,124,168,251,259],"160,183":[115],"eligible":[116,126],"examinations;":[118],"after":[119,195,220],"it":[121],"295,940":[125],"examinations.":[128],"The":[129,409],"platform":[130,183,372],"built":[132],"hybrid":[135],"architecture.":[137],"Through":[138],"collaboration":[139],"third-party":[142],"technology":[143],"provider,":[144],"hospital":[146,238],"able":[148],"deploy":[150],"system":[152,172],"without":[153],"capital":[155],"expenditures,":[156],"replacing":[157],"traditional":[158],"films":[160],"\u201ccloud":[162],"films.\u201d":[163],"Operational":[164],"collected":[167],"hospital\u2019s":[170],"PACS":[171],"administrative":[175],"backend":[176],"service":[182],"both":[184],"before":[185,218],"platform\u2019s":[187,235],"launch":[188],"(January":[189],"1,":[190],"2022\u2013December":[191],"31,":[192],"2022)":[193],"(August":[196],"12,":[197],"2024\u2013August":[198],"11,":[199],"2025).":[200],"Descriptive":[201],"statistical":[202],"methods,":[203],"Mann\u2013Whitney":[205],"U":[206],"test,":[207],"compare":[214],"differences":[215],"in":[216,275,279,330,375,381,387,394],"evaluating":[224],"system\u2019s":[226],"effectiveness.":[228],"Results":[229],"Within":[230,345],"12":[231],"months":[232],"operation,":[236],"achieved":[239],"net":[240],"savings":[241],"4,159,500":[243],"yuan":[244],"film-related":[246],"consumables;":[247],"median":[249],"examination":[252],"reporting":[254],"physicians":[256],"reduced":[258],"6.86":[260],"h":[261,264],"2.41":[263],"(":[265,322,340],"p":[266,341],"<":[267,324],"0.001),":[268,325],"decrease":[270],"approximately":[272],"64.9%,":[273],"resulting":[274],"significant":[277],"improvement":[278],"work":[280],"efficiency.":[281],"Patients":[282],"experienced":[283],"\u201czero":[284],"wait":[285],"time\u201d":[286],"film":[288,376],"retrieval,":[289],"shortening":[290],"their":[291],"total":[292],"visit":[293],"duration;":[294],"showed":[299],"that":[300],"satisfaction":[302,331],"exhibited":[303],"sustained":[305],"quarterly":[306],"upward":[307],"trend":[308],"following":[309],"intervention,":[311],"increasing":[312],"an":[314],"average":[315],"0.46":[317],"percentage":[318],"points":[319],"per":[320],"quarter":[321],"P":[323],"though":[326],"no":[327],"immediate":[328],"jump":[329],"detected":[333],"at":[334],"intervention":[338],"implementation":[339],"=":[342],"0.440).":[343],"Discussion":[344],"framework":[347],"this":[349,417],"study\u2019s":[350],"design,":[353,397],"temporal":[355],"association":[356],"observed":[358],"between":[359],"provider":[362],"investment,":[364],"pay-for-performance\u201d":[365],"reductions":[374],"consumable":[378],"improvements":[380],"physicians\u2019":[382],"image-reading":[383],"efficiency,":[384],"enhancements":[386],"satisfaction.":[389],"However,":[390],"due":[391],"limitations":[393],"further":[398],"is":[400],"needed":[401],"confirm":[403],"causality":[405],"these":[407],"associations.":[408],"long-term":[410],"sustainability":[412],"cross-institutional":[414],"scalability":[415],"require":[419],"validation":[420],"through":[421],"longer-term":[422],"follow-up":[423],"multicenter":[425],"studies.":[426]},"counts_by_year":[],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2026-10-01T00:00:00"}
