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160227s1988 dcu o 000 0 eng d |
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|a EBLCP
|b eng
|e pn
|c EBLCP
|d OCLCQ
|d XFH
|d OCLCF
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|a 994499723
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|a 9780309543095
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|a 0309543096
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|a 0309040485
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|a 9780309040488
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|a DEBBG
|b BV044107663
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|a (OCoLC)940510411
|z (OCoLC)994499723
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|a n-us---
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|a RA410.53
|b I58 1989eb
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|a 338.4/33621/0973
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|a UAMI
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| 100 |
1 |
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|a Staff, Institute of Medicine.
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| 245 |
1 |
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|a Controlling Costs and Changing Patient Care? :
|b the Role of Utilization Management.
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| 260 |
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|a Washington :
|b National Academies Press,
|c 1988.
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| 300 |
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|a 1 online resource (320 pages)
|
| 336 |
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|a text
|b txt
|2 rdacontent
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| 337 |
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|a computer
|b c
|2 rdamedia
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| 338 |
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|a online resource
|b cr
|2 rdacarrier
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| 588 |
0 |
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|a Print version record.
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0 |
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|a Controlling Costs and Changing Patient Care?; Copyright; Contents; Preface; Executive Summary; CURRENT STATUS OF UTILIZATION MANAGEMENT; HOW UTILIZATION MANAGEMENT IS EVOLVING; ISSUES FOR THE FUTURE; RECOMMENDATIONS FOR THE NEAR TERM; Responsibilities of Employers and Purchasers; Responsibilities of Utilization Management Organizations; Responsibilities of Practitioners and Institutions; Responsibilities of Patients; LONGER-TERM RECOMMENDATIONS AND QUESTIONS; Research On Effectiveness; Practice Guidelines and Review Criteria; Oversight of Utilization Management.
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| 505 |
8 |
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|a 1 Utilization Management: Introduction and DefinitionsWHAT IS UTILIZATION MANAGEMENT?; Prior Review; High-Cost Case Management; Retrospective Utilization Review; Other Cost-Containment Methods; TWO NOTES OF CAUTION; Obstacles To Evaluation; Intrinsic Conceptual and Methodological Problems; Common Behavioral Biases Against Evaluation; Competition and Evaluation; Forces Behind Rising Health Care Costs; REFERENCES; 2 Origins of Utilization Management; THE GROWTH OF THIRD-PARTY FINANCING OF HEALTH CARE; EARLY COST-MANAGEMENT EFFORTS BY THIRD PARTIES; Management of the Risk Pool.
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| 505 |
8 |
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|a Design of the Benefit PlanControls On Payments To Providers; Constraints On Supply; Utilization Review; GOVERNMENT AND EMPLOYER INVOLVEMENT; Federal Government Initiatives; Private Purchasers Become an Force; OTHER FACTORS GIVING RISE TO UTILIZATION MANAGEMENT; Inappropriate Utilization as an Cost-Containment Target; Variations in Utilization; Inappropriate Utilization; Linking Cost and Quality; Improving the Tools and Structures for Utilization Management; Information Resources; Assessment and Education Strategies; New Organizations; CONCLUSION; REFERENCES.
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| 505 |
8 |
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|a 3 The Utilization Management Industry: Structure and ProcessINDUSTRY OVERVIEW; THE REALITIES OF PRIOR REVIEW: HOW IS IT ACTUALLY DONE?; How Prior Review Is Integrated with Other Administrative Functions; How Basic Logistical Matters Are Handled; Initiating Review; Handling Telephone Calls; Computerization; How Nurse Reviewers Work; What Role Do Physician Advisers Play?; What Style Is Used with Attending Physicians?; What Criteria Are Used to Assess Care?; Lists of Procedures; Exceptions Criteria; Hospitalization Criteria; Length-Of-Stay Norms; Necessity of a Procedure.
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| 505 |
8 |
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|a How Criteria Are Adopted and ModifiedHow Organizations Use Criteria; Appeals Processes; Reporting and Feedback Mechanisms; SECOND-OPINION REQUIREMENTS; LEGAL ISSUES; CONCLUSION; REFERENCES; 4 Impact of Prior Review Programs; DIRECTION OF AVAILABLE EVIDENCE: IMPACT ON UTILIZATION AND COST; Before-and-After Studies; Comparative Studies; Multivariate Studies; Impact of Second-Opinion Programs; WEAKNESSES IN THE EVIDENCE ON EFFECTS OF PRIOR REVIEW; EFFECTS OF PRIOR REVIEW ON SPECIFIC PARTIES; Effects on Enrollees and Patients; Quality of Care; Navigating Health Care and Health Benefits.
|
| 500 |
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|a Patient Costs, Comfort, and Convenience.
|
| 546 |
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|a English.
|
| 590 |
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|a ProQuest Ebook Central
|b Ebook Central Academic Complete
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| 650 |
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0 |
|a Medical care
|z United States
|x Cost control.
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| 650 |
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0 |
|a National health services.
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| 650 |
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0 |
|a Health services administration.
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| 650 |
|
0 |
|a Cost control.
|
| 650 |
|
0 |
|a Economics.
|
| 650 |
|
0 |
|a Medical care.
|
| 650 |
|
0 |
|a Medical care
|x Quality control.
|
| 650 |
|
0 |
|a Medical personnel.
|
| 650 |
|
0 |
|a Medical care
|x Utilization review.
|
| 650 |
|
2 |
|a Health Services
|
| 650 |
|
2 |
|a Health Services Administration
|
| 650 |
|
2 |
|a Health Care Economics and Organizations
|
| 650 |
|
2 |
|a Cost Control
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| 650 |
|
2 |
|a Economics
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| 650 |
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2 |
|a Health Care Facilities, Manpower, and Services
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| 650 |
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2 |
|a Delivery of Health Care
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| 650 |
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2 |
|a Quality Assurance, Health Care
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| 650 |
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2 |
|a Quality of Health Care
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| 650 |
|
2 |
|a Costs and Cost Analysis
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| 650 |
|
2 |
|a Health Occupations
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| 650 |
|
2 |
|a Disciplines and Occupations
|
| 650 |
|
2 |
|a Health Care Quality, Access, and Evaluation
|
| 650 |
|
2 |
|a Utilization Review
|
| 650 |
|
2 |
|a Patient Care
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| 650 |
|
6 |
|a Services de santé.
|
| 650 |
|
6 |
|a Services de santé
|x Administration.
|
| 650 |
|
6 |
|a Coût
|x Contrôle.
|
| 650 |
|
6 |
|a Économie politique.
|
| 650 |
|
6 |
|a Prestation de soins.
|
| 650 |
|
6 |
|a Soins médicaux
|x Qualité
|x Contrôle.
|
| 650 |
|
6 |
|a Personnel médical.
|
| 650 |
|
6 |
|a Soins médicaux
|x Utilisation
|x Évaluation.
|
| 650 |
|
6 |
|a Soins médicaux.
|
| 650 |
|
7 |
|a cost control.
|2 aat
|
| 650 |
|
7 |
|a economics.
|2 aat
|
| 650 |
|
7 |
|a National health services
|2 fast
|
| 650 |
|
7 |
|a Medical personnel
|2 fast
|
| 650 |
|
7 |
|a Medical care
|x Utilization review
|2 fast
|
| 650 |
|
7 |
|a Medical care
|x Quality control
|2 fast
|
| 650 |
|
7 |
|a Medical care
|2 fast
|
| 650 |
|
7 |
|a Health services administration
|2 fast
|
| 650 |
|
7 |
|a Economics
|2 fast
|
| 650 |
|
7 |
|a Cost control
|2 fast
|
| 650 |
|
7 |
|a Medical care
|x Cost control
|2 fast
|
| 651 |
|
7 |
|a United States
|2 fast
|1 https://id.oclc.org/worldcat/entity/E39PBJtxgQXMWqmjMjjwXRHgrq
|
| 776 |
0 |
8 |
|i Print version:
|a Staff, Institute of Medicine.
|t Controlling Costs and Changing Patient Care? : The Role of Utilization Management.
|d Washington : National Academies Press, ©1988
|z 9780309040488
|
| 856 |
4 |
0 |
|u https://ebookcentral.uam.elogim.com/lib/uam-ebooks/detail.action?docID=3376969
|z Texto completo
|
| 938 |
|
|
|a ProQuest Ebook Central
|b EBLB
|n EBL3376969
|
| 994 |
|
|
|a 92
|b IZTAP
|
