Sayetta R B
Med Care. 1976 Jan;14(1):80-90. doi: 10.1097/00005650-197601000-00009.
The Certified Hospital Admission Program (CHAP), which was originated by the Medical Care Foundation of Sacramento, California, is regarded as a prototype of admission certification programs and the concurrent monitoring of inpatient care. These peer review functions have now been made key elements of provider utilization review requirements and of Professional Standards Review Organizations' program operations for Medicare and Medicaid. The present article questions, on methodological and interpretive grounds, earlier published findings and conclusions about CHAP's effectiveness. Significant deficiencies in evaluating its impact may mean that the success of CHAP has not yet been demonstrated and, hence, that an adequate basis for formulating certain national peer review policies may not exist.
认证医院入院计划（CHAP）由加利福尼亚州萨克拉门托市的医疗保健基金会发起，被视为入院认证计划及住院护理同步监测的典范。这些同行评审功能现已成为医疗服务提供者利用情况评审要求以及医疗保险和医疗补助专业标准评审组织项目运作的关键要素。本文基于方法和解释的理由，对先前发表的关于CHAP有效性的研究结果和结论提出质疑。评估其影响方面的重大缺陷可能意味着CHAP的成功尚未得到证明，因此，可能不存在制定某些国家同行评审政策的充分依据。
