Determination of Prescription Indications of Brain MRI Using Appropriateness RAND in Shiraz University of Medical Sciences

The cost of healthcare is one of the major challenges in health systems. In this regard, one of the main issues is the large volume of inappropriate or unnecessary care. Therefore, the present study aimed to determine the appropriateness of prescribing indications for using brain MRI using Appropriateness RAND in Shiraz hospitals.
In this qualitative study, MRI guidelines were identified in order to determine the standard indications. Then, the most appropriate and reliable guideline that was right for the country's health system was selected using the translated version of Appraisal of Guidelines for Evaluation and Research (AGREE). Focus group and Delphi methods were used to determine the final prescribing indications.
The results led to development of 34 indications for brain MRI, including abnormalities detected in other imaging procedures that require more transparency for treatment, types 1 and 2 Arnold Chiari malformation, cerebral palsy, nervous system disorders, progressive neurological disorder, cerebrovascular accidents, stroke, etc.
The high hospital costs, especially MRI, necessitate using a valid indication for preventing unnecessary tests and induced demand. Using these indications results in reduction of hospital and patient costs.