A European Project assessing the appropriateness of hospital utilization: Background, objectives and preliminary results

Alessandro Liberati, Giovanni Apolone, Thierry Lang, Susana Lorenzo

Research output: Contribution to journalArticlepeer-review

Abstract

This paper presents the background, objectives and preliminary results of a coordinated European Project involving researchers in seven countries aimed at harmonizing methods to assess inappropriate use of hospital care and qualifying its determinants. After briefly reviewing the philosophy of the European Union "Concerted Action" program in the context of current attempts at reforming the way health care is financed and delivered in several member states, the paper presents results obtained so far. Besides a method workshop where the approaches and methodologies used were compared, during the first year the following tasks have been undertaken: (a) identification and appraisal of a few dozen empirical studies conducted in various countries; (b) qualitative comparison of the instruments used to assess appropriateness; (c) initial development of a common list of reasons for inappropriate hospital use of potential relevance in European health care systems. While the project has already undoubtedly indicated the great potential of European collaboration in health services research, the large number of unpublished studies traced indicates-among other things-the need to create channels through which results of this type of research can be disseminated.

Original languageEnglish
Pages (from-to)187-199
Number of pages13
JournalInternational Journal for Quality in Health Care
Volume7
Issue number3
Publication statusPublished - Sep 1995

Keywords

  • Appropriateness
  • hospital use
  • utilization review

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Health Policy
  • Nursing(all)
  • Health(social science)
  • Health Professions(all)
  • Statistics, Probability and Uncertainty
  • Applied Mathematics
  • Ecology
  • Ecology, Evolution, Behavior and Systematics

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