Rothberg D L, Gertman P M
Med Care. 1981 Jan;19(1):47-54. doi: 10.1097/00005650-198101000-00006.
A national sample of both hospital administrators and hospital review chair-persons (the two adversarial providers in the hospital regulatory milieu) were surveyed and asked to estimate the degree and kind of unnecessary hospital utilization taking place both in the U.S. and at their own institution. Both groups indicated that inappropriate hospital use was considerable. Even more striking was the degree of concordant perceptions about the magnitude and type of unnecessary use at their own hospitals. The shared perceptions held by two conflicted parties in the regulatory process justifies continued scrutiny of hospital admissions, stays and ancillary services, forms a sound basis for policy intervention and illustrates how attitudinal research methods may be used in the making of health care policy.
对全国范围内的医院管理人员和医院评审主席（医院监管环境中的两个对立群体）进行了抽样调查，要求他们估计美国以及他们自己所在机构中不必要的医院利用情况的程度和类型。两组人员均表示，不适当的医院利用情况相当严重。更令人惊讶的是，对于他们自己医院不必要利用的规模和类型，两组人员的看法高度一致。监管过程中两个冲突方的共同看法证明了对医院入院、住院时间和辅助服务进行持续审查的合理性，为政策干预奠定了坚实基础，并说明了态度研究方法如何可用于制定医疗保健政策。
