caa a22 4500 397519370 CHVBK 20180308164628.0 cr unu---uuuuu 161202e199509 xx s 000 0 eng 10.1093/intqhc/7.3.213 doi (NATIONALLICENCE)oxford-10.1093/intqhc/7.3.213 An Overview of Spanish Studies on Appropriateness of Hospital Use [Elektronische Daten] [S. LORENZO, R. SUNOL] This paper is an overview of hospital utilization review in Spain. Most of the hospital utilization studies have used the Appropriateness Evaluation Protocol as the review instrument. The studies, mainly retrospective, started in the late 1980s and used different adaptations of the medical-surgical version of the protocol. The level of inappropriate use detected ranges between 2.1 and 44.8% for admissions, and from 15 to 43.9% for inappropriate days of stay. The variability in the detected degree of inappropriateness may be due to the differences in the review instrument, the use of the override option, the patients included in the study, or the setting. The determinants of inappropriate hospitalization in Spain are mainly related to access to the different levels of care and to the conservative attitude of the physicians. Future utilization review in Spain should be followed by the development of specific interventions to correct the current pattern of overutilization. © 1995 Elsevier Science Ltd APPROPRIATENESS OF HOSPITAL USE: THE EUROPEAN BIOMED PROJECT nationallicence Utilization review nationallicence appropriateness nationallicence hospital use nationallicence Spain nationallicence LORENZO S. National School of Public Health Madrid, Spain aut SUNOL R. Avedis Donabedian Foundation Barcelona, Spain aut International Journal for Quality in Health Care Oxford University Press 7/3(1995-09), 213-218 1353-4505 7:3<213 1995 7 intqhc https://doi.org/10.1093/intqhc/7.3.213 text/html Onlinezugriff via DOI 1 other jats NATIONALLICENCE 856 40 https://doi.org/10.1093/intqhc/7.3.213 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- LORENZO S. National School of Public Health Madrid, Spain aut NATIONALLICENCE 700 1- SUNOL R. Avedis Donabedian Foundation Barcelona, Spain aut NATIONALLICENCE 773 0- International Journal for Quality in Health Care Oxford University Press 7/3(1995-09), 213-218 1353-4505 7:3<213 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