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International Journal for Quality in Health Care 7:239-244 (1995)
© 1995 International Society for Quality in Health Care

Appropriateness of Hospital Use in the United Kingdom: a Review of Activity in the Field

DECLAN O'NEILL* and MAGGIE PEARSON{dagger}

* Project Director, Health Systems Outcomes, NSW Health Department NSW, Australia
{dagger} Professor and Director, Health and Community Care Research Unit, North West RHA & University of Liverpool Liverpool, UK

Objective: This paper reviews experience, in both research and application, with measures of appropriateness applied to the utilization of hospital inpatient services in the UK.

Background: The evolution of different methods for measuring appropriateness of use and the associated reasons for misutilization are described.

Research and Application: Recent research developments and applications are outlined and discussed.

Conclusion: Contemporary enthusiasm with "Diagnosis Independent Explicit Criteria Utilization Review Instruments" is observed and some of the underlying influences are explored.

Keywords: Appropriateness, utilization review, hospital use, acute admissions criteria audit

Correspondence: Dr D. O'Neill, Project Director, Health Systems Outcomes, NSW Health Department, Locked Mail Bag 961, NSW 2059, Australia. Tel.: +61.2.391.9326; Fax: +61.2.391.9424.

Received for publication April 3, 1995. Accepted for publication June 13, 1995.


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