Lorenzo S, Beech R, Lang T, Santos-Eggimann B
Gabinete del Plan de Calidad, Fundación Hospital Alcorcón, Madrid, Spain.
Int J Qual Health Care. 1999 Feb;11(1):13-9. doi: 10.1093/intqhc/11.1.13.
To develop and test a utilization review screening tool for use in European hospitals.
In 1993 a group of researchers financed by a European Union grant reviewed the use of utilization review in Europe. They quickly noticed a lack of specifically designed instruments able to take into account the health care and cultural differences across Europe, and available for use in different health care systems. Hence, they embarked upon the task of developing and testing a utilization review screening tool for use in European hospitals.
The European Union-Appropriateness Evaluation Protocol's list of reasons was developed and assessed. This is a common taxonomy that classifies days identified as unnecessary and provides a list of levels of care to identify patients' needs. This new protocol not only substitutes for the multiple previous local versions of the Appropriateness Evaluation Protocol, but will also facilitate comparisons of the varying experiences in European countries.
Development of utilization review in Europe has been carried out mostly on a voluntary basis and the main objective was not control. The experience varies widely: from France, where utilization review is still developing and research has been implemented by local teams, to Portugal, where utilization review programmes have been initiated by government authorities. At this point different initiatives in quality improvement, and more specifically in utilization review, are being developed within the European context.
开发并测试一种供欧洲医院使用的利用情况审查筛选工具。
1993年，一组由欧盟资助的研究人员对欧洲利用情况审查的使用情况进行了评估。他们很快注意到，缺乏专门设计的工具来考虑欧洲各地的医疗保健和文化差异，也没有可供不同医疗保健系统使用的工具。因此，他们着手开发并测试一种供欧洲医院使用的利用情况审查筛选工具。
制定并评估了欧盟适用性评估协议的理由清单。这是一种通用分类法，对被认定为不必要的天数进行分类，并提供护理级别清单以确定患者的需求。这一新协议不仅取代了之前多个地方版本的适用性评估协议，还将便于比较欧洲各国的不同经验。
欧洲利用情况审查的开展大多是自愿的，主要目标不是控制。经验差异很大：从利用情况审查仍在发展且由当地团队开展研究的法国，到由政府当局启动利用情况审查计划的葡萄牙。此时，欧洲范围内正在开展不同的质量改进举措，尤其是利用情况审查方面的举措。
