Wahn M
Department of Sociology, University of Winnipeg, Man.
CMAJ. 1992 Mar 1;146(5):723-8.
The Manitoba Medical Review Committee is a peer review body that monitors the patterns of practice of the province's 1800 physicians in order to prevent and control overservicing. This study examined the effectiveness of the committee in reducing the unnecessary use of complete examinations, regional examinations, special calls, nursing-home visits and diagnostic testing. In 1983-84 the practice patterns of 44 physicians were reviewed because of the higher than average volumes of services. By the end of 1987-88 the number of services per 100 patients dropped. In most cases the decrease was not offset by increases in other services or in the number of patients. The estimated savings resulting from the utilization review amounted to more than $2 million during the 4-year period.
曼尼托巴医学审查委员会是一个同行评审机构，负责监督该省1800名医生的执业模式，以预防和控制过度服务。本研究考察了该委员会在减少全面检查、区域检查、特殊出诊、养老院探访和诊断检测等不必要使用方面的有效性。在1983 - 1984年，由于服务量高于平均水平，对44名医生的执业模式进行了审查。到1987 - 1988年底，每100名患者的服务量下降了。在大多数情况下，这种下降并未被其他服务或患者数量的增加所抵消。在这4年期间，利用审查估计节省了超过200万美元。
