Radiology Support, Communication, and Alignment Network and Its Role to Promote Health Equity in the Delivery of Radiology Care

J Am Coll Radiol. 2019 Apr;16(4 Pt B):638-643. doi: 10.1016/j.jacr.2018.12.044.


Racial, ethnic, and socioeconomic disparities in radiological care have been well documented in both the emergency and outpatient setting. Health IT has the potential to facilitate equitable care across diverse populations. Ordering the appropriate study is the first step in the greater mission of improving access and equity for everyone. Radiology Support, Communication, and Alignment Network (R-SCAN) is an informatics-based solution using clinical decision support (CDS) to promote health equity through optimization in appropriate imaging utilization. R-SCAN and CDS may help combat the potential implicit bias of clinicians by providing evidence-based imaging guidelines at the point of care and ensure that patients will receive equitable and appropriate imaging regardless of ethnic and socioeconomic background. By fostering multidisciplinary collaboration between radiologists and referring clinicians, R-SCAN initiatives across the nation have demonstrated successful reductions in inappropriate imaging utilization, particularly in regions with vulnerable populations.

Keywords: Clinical decision support; health disparity; health equity; value-based care.

Publication types

  • Review

MeSH terms

  • Communication
  • Female
  • Health Equity*
  • Health Promotion
  • Healthcare Disparities / economics*
  • Humans
  • Male
  • Outcome Assessment, Health Care
  • Physician's Role*
  • Radiology / organization & administration*
  • Social Networking*
  • United States
  • Vulnerable Populations