Design and development of a utilization review program in Portugal

International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care
M BentesE Pina

Abstract

This paper describes the work that has been under way in the Portuguese government hospital sector, with respect to the use of an adapted version of the Appropriateness Evaluation Protocol (AEP). Modifications to the original system were determined through a series of experiments at pilot hospitals and reliability and user profile studies were subsequently conducted using the modified criteria. Results were of great value in terms of the identification and quantification of problems. On average, approximately one in every four non-obstetric admissions and one in every 2 days of stay were deemed inappropriate and 75% of all inappropriate days were related to patients who were ready for discharge. It is expected that the use of the modified AEP will be extended and enhanced over the next few years. In this regard, advantage has already been taken of the implementation of an output-based funding system, combining retrospective statistical analysis of the hospitals' inpatient databases with targeted reviews of individual patients.

Citations

Aug 31, 2002·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Carles Moya-RuizRicard Meneu
Jan 8, 2003·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Oliver SanghaMatthew H Liang
Aug 25, 2009·BMC Health Services Research·Joaquín F Mould-QuevedoSergio Sánchez-García
Aug 11, 2004·International Journal of Health Care Quality Assurance Incorporating Leadership in Health Services·Lambert J G G PanisMartin H Prins
May 16, 2015·Perioperative Medicine·Elizabeth AshbyMichael Pw Grocott
Jan 1, 1997·Stroke; a Journal of Cerebral Circulation·A van StratenM Limburg
Mar 26, 2003·Health Services Research·Dan R BerlowitzMark A Moskowitz
Oct 11, 2017·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Wenwei LiuJin Ma

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care
B Santos-EggimannT Blanc
Quality Assurance in Health Care : the Official Journal of the International Society for Quality Assurance in Health Care
A DavidoT Lang
© 2021 Meta ULC. All rights reserved