Advancing health care delivery in community, rural, and safety-net settings
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These delays are particularly pronounced in resource-constrained environments, such as rural hospitals, emergency departments, and low-income regions, where access to experienced radiologists is limited or inconsistent.
“These delays are particularly pronounced in resource-constrained environments, such as rural hospitals, emergency departments, and low-income regions, where access to experienced radiologists is limited or inconsistent (3, 4).”
From Swin-Qwen3: a three-stage vision–language framework for automated radiology report generation with multi-agent verification (2026) · cites this paper as [3]
The Introduction (page unavailable) links access barriers to delayed or missed care, and “Shared Challenges” (page unavailable) identifies radiologist shortages in community, rural, and safety-net settings. The paper does not establish that delays are particularly pronounced in those settings, or that limited access to experienced radiologists causes delays in emergency departments specifically. (LLM, conf=0.84)
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Cites
Hood, C. M., Gennuso, K. P., Swain, G. R., & Catlin, B. B. (2016) · American Journal of Preventive Medicine · doi:10.1016/j.amepre.2015.08.024 · Cited by 1,005 · see citing works
Hefner, J. L., Hogan, T. H., Opoku-Agyeman, W., & Menachemi, N. (2021) · BMC Health Services Research · doi:10.1186/s12913-021-06292-9 · Cited by 61 · see citing works
Jose, O., Stoeckl, E. M., Miles, R. C., Mango, V. L., Reid, N., Wagner, A. S. B., Weissman, I. A., Flores, E. J., Morla, A., & Narayan, A. K. (2023) · Radiology · doi:10.1148/radiol.222182 · Cited by 23 · see citing works
Self-citationMiles, R. C., Flores, E. J., Carlos, R. C., Boakye-Ansa, N. K., Brown, C., Sohn, Y.-J., & Narayan, A. K. (2022) · Journal of the American College of Radiology · doi:10.1016/j.jacr.2022.06.001 · Cited by 20 · see citing works
Self-citationThe Remote Academic Radiologist: AJR Expert Panel Narrative Review
Ismail, M., Hanna, T. N., Davis, M. A., Rubin, E. J., DeQuesada, I. M., Miles, R. C., & Pandharipande, P. V. (2023) · American Journal of Roentgenology · doi:10.2214/ajr.23.29601 · Cited by 18 · see citing works
Self-citationFostering Patient-Centered Equitable Care in Radiology: AJR Expert Panel Narrative Review
Narayan, A. K., Miles, R. C., Milton, A. J., Salazar, G., Spalluto, L. B., Babagbemi, K., Stowell, J. T., Flores, E. J., Dako, F., & Weissman, I. A. (2023) · American Journal of Roentgenology · doi:10.2214/ajr.23.29261 · Cited by 16 · see citing works
Self-citationOutcomes of Implementation of a Same-Day Breast Biopsy Program in a Safety-Net Public Hospital
Tran, N.-T., Ewald, I., Baird, G. L., Guevara, A. E., Doyle, C., & Miles, R. C. (2025) · Journal of the American College of Radiology · doi:10.1016/j.jacr.2025.04.024 · Cited by 6 · see citing works
Self-citationLopez, A. R., Slanetz, P. J., Narayan, A. K., Tran, N.-T., Porras, A. R., & Miles, R. C. (2024) · Radiology · doi:10.1148/radiol.231469 · Cited by 5 · see citing works
Self-citationMorales-Tisnés, T. C., Pelzl, C. E., Milla, S. S., & Otero, H. J. (2025) · Journal of the American College of Radiology · doi:10.1016/j.jacr.2025.03.002 · Cited by 4 · see citing works
The Attractions of a Rural Career
Burton, K., & Gunderman, R. B. (2023) · Academic Radiology · doi:10.1016/j.acra.2023.01.001 · Cited by 3 · see citing works
The Role of Federally Qualified Health Centers in Achieving Equitable Cancer Screening
Kao, R., Patel, A., & Sadigh, G. (2025) · Journal of the American College of Radiology · doi:10.1016/j.jacr.2025.03.005 · Cited by 3 · see citing works
Patel, H. P., Chebaane, M., Gerena, R. G., Thompson, C. A., Schwertner, A., Shy, B. D., Naeger, D. M., & McMenamy, J. (2025) · Journal of the American College of Radiology · doi:10.1016/j.jacr.2025.04.028 · Cited by 3 · see citing works
Milton, A. J., Miles, R. C., Gettle, L. M., Geertruyden, P. V., & Narayan, A. K. (2025) · Journal of the American College of Radiology · doi:10.1016/j.jacr.2025.04.017 · Cited by 3 · see citing works
Self-citationStuckwisch, A. M., Martin, M. D., Grist, T. M., Loving, K. R., Stephenson, J. W., & Narayan, A. K. (2025) · Journal of the American College of Radiology · doi:10.1016/j.jacr.2025.04.019 · Cited by 2 · see citing works
Self-citationPatel, A., Omofoye, T. S., & Miles, R. C. (2025) · Journal of the American College of Radiology · doi:10.1016/j.jacr.2025.04.027 · Cited by 2 · see citing works
Self-citationWhitfield, G. E., Rooney, B. L., Bennie, B. A., Oldenburg, M. C., & Kattapuram, T. M. (2025) · Journal of the American College of Radiology · doi:10.1016/j.jacr.2025.04.036 · Cited by 2 · see citing works
Patel, B., Raygoza, J. P., Kosiorek, H., Soto, C. C., Grijalva, D. Y., Pisano, E. D., Northfelt, D., Karuppana, S., & Austin, J. D. (2025) · Journal of the American College of Radiology · doi:10.1016/j.jacr.2025.04.026 · Cited by 1 · see citing works
Beyond the Battlefield: Military Radiology and Its Unique Practice Challenges
Singh, A. K., Dryden, J., Naeem, M., Lutynski, M., & Davis, D. (2025) · Journal of the American College of Radiology · doi:10.1016/j.jacr.2025.04.015 · Cited by 1 · see citing works
Challenges and Opportunities in Cancer Screening in Incarcerated Populations
Kaiksow, F. A., Striker, R., & LoConte, N. K. (2025) · Journal of the American College of Radiology · doi:10.1016/j.jacr.2025.04.016 · Cited by 1 · see citing works
Measuring Health-Related Social Risks in a Lung Cancer Screening Cohort
Dako, F., Karasek, P., Seward, J. B., White, K., Vachani, A., Rendle, K., & Guerra, C. (2025) · Journal of the American College of Radiology · doi:10.1016/j.jacr.2025.04.018 · Cited by 1 · see citing works
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MedFusionT5: Cross-Modal Attention Boosts Semantic Quality and Reduces Hallucinations in Dental AI
Abdaoui, H., Barbaria, S., Dergaa, I., Ceylan, H. İ., Bragazzi, N. L., de Giorgio, A., Salah, R. B., & Rahmouni, H. B. (2026) · International Dental Journal · doi:10.1016/j.identj.2025.109404 · Cited by 4 · see citing works
Abdaoui, H., Barbaria, S., Al Kuwaiti, A., Raouafi, N., Ben Salah, R., & Boussi Rahmouni, H. (2026) · Frontiers in Radiology · doi:10.3389/fradi.2026.1875905
- Authors
- Miles, R. C., & Narayan, A. K.
- Affiliations
- Denver Health Medical Center (US)
- University of Wisconsin–Madison (US)
- Venue
- Journal of the American College of Radiology
- Publisher
- Elsevier BV
- Published
- 2025-07
- Volume
- 22
- Issue
- 7
- Pages
- 715-717
- ISSN
- 1546-1440 (ISSN-L)
- OpenAlex
- W4410113931
- Cited by
- 2
- References
- 20
- Citations by year
- 2026: 2
- FWCI
- 1.16
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Journal of the American College of Radiology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Radiology, Nuclear Medicine and Imaging › Radiology practices and education
- Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Healthcare Policy and Management
- Health Sciences › Health Professions › Emergency Medical Services › Global Health Workforce Issues
- Keywords
- health care delivery, community-based care, rural health care, safety-net hospitals, radiology services, access to imaging
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