caa a22 4500 397519168 CHVBK 20180308164628.0 cr unu---uuuuu 161202e199509 xx s 000 0 eng 10.1093/intqhc/7.3.187 doi (NATIONALLICENCE)oxford-10.1093/intqhc/7.3.187 A European Project Assessing the Appropriateness of Hospital Utilization: Background, Objectives and Preliminary Results [Elektronische Daten] [ALESSANDRO LIBERATI, GIOVANNI APOLONE, THIERRY LANG, SUSANA LORENZO] 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undoubtedly indicated the great potential of European collaboration in health services research, the large number of unpublished studies traced indicates—among other things—the need to create channels through which results of this type of research can be disseminated. © 1995 Elsevier Science Ltd APPROPRIATENESS OF HOSPITAL USE: THE EUROPEAN BIOMED PROJECT nationallicence Appropriateness nationallicence hospital us nationallicence utilization review nationallicence LIBERATI ALESSANDRO Laboratory of Clinical Epidemiology, Mario Negri Institute Milan, Italy aut APOLONE GIOVANNI Laboratory of Clinical Epidemiology, Mario Negri Institute Milan, Italy aut LANG THIERRY Laboratory of Clinical Epidemiology, Mario Negri Institute Milan, Italy aut LORENZO SUSANA Assistance Publique, H÷pitaux de Paris, H÷pital de la Pitié-Salpétrière, Service D'informatique Medicale Paris, France aut International Journal for Quality in Health Care Oxford University Press 7/3(1995-09), 187-199 1353-4505 7:3<187 1995 7 intqhc https://doi.org/10.1093/intqhc/7.3.187 text/html Onlinezugriff via DOI 1 other jats NATIONALLICENCE 856 40 https://doi.org/10.1093/intqhc/7.3.187 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- LIBERATI ALESSANDRO Laboratory of Clinical Epidemiology, Mario Negri Institute Milan, Italy aut NATIONALLICENCE 700 1- APOLONE GIOVANNI Laboratory of Clinical Epidemiology, Mario Negri Institute Milan, Italy aut NATIONALLICENCE 700 1- LANG THIERRY Laboratory of Clinical Epidemiology, Mario Negri Institute Milan, Italy aut NATIONALLICENCE 700 1- LORENZO SUSANA Assistance Publique, H÷pitaux de Paris, H÷pital de la Pitié-Salpétrière, Service D'informatique Medicale Paris, France aut NATIONALLICENCE 773 0- International Journal for Quality in Health Care Oxford University Press 7/3(1995-09), 187-199 1353-4505 7:3<187 1995 7 intqhc Metadata rights reserved CC BY-NC-4.0 http://creativecommons.org/licenses/by-nc/4.0 nationallicence SWISSBIB 374371970 BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-oxford