Diagnostic Imaging - Dayhawk teleradiology phenomenon unsettles radiology market: [via radRounds. Emphases mine]
“The new dayhawk market threatens the very existence of not just some radiologists’ lifestyles but even their jobs,” said Dr. Giles W. L. Boland, an associate professor of radiology at Harvard Medical School, and medical director of teleradiology at Massachusetts General Hospital. Boland details the dayhawk threat in a May commentary (AJR 2008;190:1161-1162).
The dayhawk phenomenon has grown out of hospital satisfaction with the rapid service hospitals receive on outsourced off-hour interpretations by nighthawk teleradiology groups. Hospital administrators and referring physicians have begun to wonder why their local radiology groups cannot deliver the same level of service for daytime radiology reads that they are receiving from nighthawk groups. Since many radiology groups are understaffed and cannot readily provide rapid subspecialty daytime reads, however, some have been forced to outsource an increasing number of daytime interpretations to the acquisitive teleradiology companies. Teleradiology firms are positioned to respond to the new dayhawk market based on the logistic infrastructure built for nighthawk services, Boland said. Radiology groups who readily outsourced their off-hour responsibilities in the hope of making their practices more attractive in a tight labor market have inadvertently created a competitive dayhawk market.
The success of commercial teleradiology companies has drawn in larger entrepreneurial radiology groups. This shifting market has resulted in an intense phase of industry consolidation. Smaller radiology groups, particularly those delivering substandard customer service, are at significant risk of losing out.
“They are at a particular disadvantage because they often cannot offer the full range of subspecialty services that increasingly is being demanded of them,” he said. “Consequently, some radiologists can no longer assume long-term job security because their core value proposition can now be outsourced.”
The dayhawk teleradiology shockwave has had an unsettling effect on radiology’s vision of the future.
While teleradiology has much to offer, radiologists, referring physicians, teleradiology companies, and patients face a future full of uncertainty and risk, according to Boland.
“As teleradiology comes of age, it is not yet clear who will end up the ultimate winners and losers,” he said.
- “Smaller radiology groups” by definition cannot deliver satisfactory customer service in the USA in this day and age of defensive - cover your a$$ - medicine. It is a shame that they face financial ruin. The blame for this can be placed squarely on the out of control malpractice litigation system.
- I hate the fact that a general specialty such as radiology is being split up into subspecialties. I believe that the vast majority of radiologists would like to be generalists, with may be a special interest in one or the other imaging modality or body system. I can accept a broad division between diagnostic and interventional radiology. But the trend of subspecialisation within diagnostic radiology is something that I personally find disturbing. Most of us radiologists, at least here in India, are forced to “subspecialise” based on the availability of imaging modalities and our referral base.
- I strongly beleive that teleradiology has much to offer here in India. Not in the limited “dollar-bling” way of nighthawk services for US hospitals or radiology practices, but to meet the demand for quality radiology services within our own country. I believe it will be a win-win situation for radiologists, hospitals and patients. Especially in small town & rural India.