Ellis G L
Am J Occup Ther. 1976 Jul;30(6):370-5.
Since Public Law 92-603 was enacted in October 1972 considerable progress has been made in the establishment of Professional Standards Review Organizations (PSROs) for the purpose of determining the necessity, appropriateness, and quality of medical care provided beneficiaries of the major programs authorized in the Social Security Act. Sixty-five conditional PSROs are implementing review in acute care hospitals in their geographic area, and 55 planning groups are developing plans to qualify for conditional PSRO designation. The PSRO hospital review system is based on three interrelated review mechanisms. These are concurrent review, which includes admission certification, and continued stay review through discharge; medical care evaluation studies; and analysis of hospital, practitioner, and patient profiles. This article describes the review system in some detail and the potential opportunities the PSRO program offers to occupational therapists.
自1972年10月《公法92 - 603》颁布以来，在设立专业标准审查组织（PSROs）方面已取得了相当大的进展，其目的是确定《社会保障法》授权的主要项目的受益人所接受医疗服务的必要性、适当性和质量。65个附条件的PSROs正在其地理区域内的急症医院开展审查工作，55个规划小组正在制定计划以获得附条件PSRO的指定资格。PSRO医院审查系统基于三种相互关联的审查机制。这些机制包括同步审查，其中涵盖入院认证以及直至出院的持续住院审查；医疗服务评估研究；以及对医院、从业者和患者资料的分析。本文详细介绍了该审查系统以及PSRO计划为职业治疗师提供的潜在机会。
