Restuccia J D
Program in Health Care Management, Boston University, MA 02215, USA.
Int J Qual Health Care. 1995 Sep;7(3):253-60. doi: 10.1093/intqhc/7.3.253.
The purpose of this paper is to provide a description of utilization review (UR) methods that have been used in the United States and the direction UR is likely to take in the future. In contrast to the European studies reported in this issue, which consist primarily of empirical studies quantifying the magnitude of inappropriate hospital utilization, the focus of this paper is on the methods used to perform UR operationally. Particular attention will be paid to the predominant form of UR employed in the United States, concurrent review of the need for a hospital level of care, and on the criteria used to assess appropriateness of hospital admissions and days.
本文旨在描述美国所采用的利用审查（UR）方法以及UR未来可能的发展方向。与本期报道的欧洲研究不同，欧洲研究主要是对不适当医院利用程度进行量化的实证研究，而本文的重点是用于实际开展UR的方法。将特别关注美国采用的UR的主要形式，即对医院护理水平需求的同期审查，以及用于评估医院入院和住院天数合理性的标准。
