ReviewHealth services research1987
Identifying and managing inappropriate hospital utilization: a policy synthesis.
Review in Health services research, 1987. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
39 citing papers in PubMed, 122 citations in OpenAlex.
- Factors impacting the success of computerized preadmission screening.Proceedings. Symposium on Computer Applications in Medical Care · 1995Trial
- Integration of a stand-alone expert system with a hospital information system.Proceedings. Symposium on Computer Applications in Medical Care · 1992Trial
- Effectiveness of hospital emergency department regionalization and categorization policy on appropriate patient emergency care use: a nationwide observational study in Taiwan.BMC health services research · 2021Observational
- Factors associated with low-acuity hospital admissions in a public safety-net setting: a cross-sectional study.BMC health services research · 2020Article
- Performance and Sociodemographic Determinants of Excess Outpatient Demand of Rural Residents in China: A Cross-Sectional Study.International journal of environmental research and public health · 2020Article
- Observational
- Distribution of the Indicator of the Appropriate Admission of Patients with Circulatory System Diseases to County Hospitals in Rural China: A Cross-Sectional Study.International journal of environmental research and public health · 2019Article
- Determinants of inappropriate admission of elderly people in county-level hospitals: a cross-sectional study in rural China.BMJ open · 2019Article
- Determinants of inappropriate admissions of children to county hospitals: a cross-sectional study from rural China.BMC health services research · 2019Article
- Determinants of Inappropriate Admissions in County Hospitals in Rural China: A Cross-Sectional Study.International journal of environmental research and public health · 2018Article
- French Multicenter Evaluation of the Appropriateness of Admission to the Emergency Department of the Over-80s.The journal of nutrition, health & aging · 2015Article
- Current level and determinants of inappropriate admissions to township hospitals under the new rural cooperative medical system in China: a cross-sectional study.BMC health services research · 2014Article
- Determining appropriateness for rehabilitation or other subacute care: is there a role for utilisation review?Australia and New Zealand health policy · 2007Article
- Effectiveness of a physician-oriented feedback intervention on inappropriate hospital stays.Journal of epidemiology and community health · 2007Article
- The roles of low literacy and social support in predicting the preventability of hospital admission.Journal of general internal medicine · 2006Article
- Inappropriate hospital utilization for long-stay patients in southern Taiwan.The Kaohsiung journal of medical sciences · 2003Article
- A seven year experience of medical emergencies in the assessment unit.Archives of disease in childhood · 2003Article
- Factors affecting appropriateness of hospital utilization in two hospitals in Turkey.Journal of medical systems · 2001Article
- [Analysis of a programme of direct referral between primary and specialist care in potential surgery patients].Atencion primaria · 2001Article
- [Reproducibility of a German scale for assessing the need for inpatient treatment in surgery].Sozial- und Praventivmedizin · 2000Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
1 author at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Utilization review, the assessment of the appropriateness and efficiency of hospital care through review of the medical record, and utilization management, deliberate action by payers or hospital administrators to influence providers of hospital services to increase the efficiency and effectiveness with which services are provided, are valuable but relatively unfamiliar strategies for containing hospital costs. The purpose of this synthesis is to increase awareness of the scope of and potential for these approaches among health services managers and administrators, third-party payers, policy analysts, and health services researchers. The synthesis will assist the reader to trace the conceptual context and the historical development of utilization review from unstructured methods using individual physicians' professional judgment to structured methods using explicit criteria; to establish the context of utilization review and clarify its uses; to understand the concepts and tools used in assessing the efficiency of hospital use; and to select, design, and evaluate utilization review and utilization management programs. The extent of inappropriate (medical unnecessary) hospital utilization and the factors associated with it are described. Implications for managers, providers, and third-party payers in targeting utilization review and in designing and evaluating utilization management programs are discussed.
Indexed as
Identifiers
3121538PMC1065471W1579033982What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.