Fig. 2

Drivers for low-value imaging in the Norwegian healthcare system. The outer circle in the figure illustrates the drivers in the organization of the healthcare system as economy, and good access to imaging. The middle circle illustrates the procedural and cultural drivers. The inner circle represents the process of referral and referral assessment. The referrer and the radiologist are placed in separate silos, and the split demonstrates that the referrer is the only connection between the patients and the radiologists