caa a22 4500 397519184 CHVBK 20180308164628.0 cr unu---uuuuu 161202e199509 xx s 000 0 eng 10.1093/intqhc/7.3.201 doi (NATIONALLICENCE)oxford-10.1093/intqhc/7.3.201 Design and Development of a Utilization Review Program in Portugal [Elektronische Daten] [MARGARIDA BENTES, MARIA DA LUZ GONSALVES, MARGARIDA SANTOS, ELAINE PINA] 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. © 1995 Elsevier Science Ltd APPROPRIATENESS OF HOSPITAL USE: THE EUROPEAN BIOMED PROJECT nationallicence AEP nationallicence PRU nationallicence utilization review nationallicence inappropriate hospital use nationallicence BENTES MARGARIDA Departmento de Desenvolvimento de Sistemas de Financiamento e de Gestao, Intituto de Gestqao Informatica e Financeira da Saude, Lisbon, Portugal aut GONSALVES MARIA DA LUZ Departmento de Desenvolvimento de Sistemas de Financiamento e de Gestao, Intituto de Gestqao Informatica e Financeira da Saude, Lisbon, Portugal aut SANTOS MARGARIDA Departmento de Desenvolvimento de Sistemas de Financiamento e de Gestao, Intituto de Gestqao Informatica e Financeira da Saude, Lisbon, Portugal aut PINA ELAINE Departmento de Desenvolvimento de Sistemas de Financiamento e de Gestao, Intituto de Gestqao Informatica e Financeira da Saude, Lisbon, Portugal aut International Journal for Quality in Health Care Oxford University Press 7/3(1995-09), 201-212 1353-4505 7:3<201 1995 7 intqhc https://doi.org/10.1093/intqhc/7.3.201 text/html Onlinezugriff via DOI 1 other jats NATIONALLICENCE 856 40 https://doi.org/10.1093/intqhc/7.3.201 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- BENTES MARGARIDA Departmento de Desenvolvimento de Sistemas de Financiamento e de Gestao, Intituto de Gestqao Informatica e Financeira da Saude, Lisbon, Portugal aut NATIONALLICENCE 700 1- GONSALVES MARIA DA LUZ Departmento de Desenvolvimento de Sistemas de Financiamento e de Gestao, Intituto de Gestqao Informatica e Financeira da Saude, Lisbon, Portugal aut NATIONALLICENCE 700 1- SANTOS MARGARIDA Departmento de Desenvolvimento de Sistemas de Financiamento e de Gestao, Intituto de Gestqao Informatica e Financeira da Saude, Lisbon, Portugal aut NATIONALLICENCE 700 1- PINA ELAINE Departmento de Desenvolvimento de Sistemas de Financiamento e de Gestao, Intituto de Gestqao Informatica e Financeira da Saude, Lisbon, Portugal aut NATIONALLICENCE 773 0- International Journal for Quality in Health Care Oxford University Press 7/3(1995-09), 201-212 1353-4505 7:3<201 1995 7 intqhc Metadata rights reserved CC BY-NC-4.0 http://creativecommons.org/licenses/by-nc/4.0 nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-oxford