title: Hospital response variation to the demands of preadmission certification.
abstract: This paper reports findings from a study of the impact of preadmission certification programs from the perspective of the hospital--a deeply affected party. A series of field studies was undertaken to explore and delineate the range of hospital responses to the challenges posed by this third-party payer mandate and to identify factors associated with variation in responses. The evidence presented suggests wide variation in how hospitals chose to share responsibility for pre-certification with physicians and patients. The findings are broadly consistent with a proposed model that hospital response is determined by both external and internal considerations, but a larger scale hospital survey is necessary to test the hypotheses that can be derived from this study.
authors.affiliation: Medical College of Virginia, Virginia Commonwealth University, Department of Health Administration, Richmond 23298.
authors.forename: R E
authors.initials: RE
authors.lastname: Hurley
authors.forename: J E
authors.initials: JE
authors.lastname: Michelman
mesh_terms: D000289:Admitting Department, Hospital / Q000706:statistics & numerical data*; D000704:Analysis of Variance; D002568:Certification / Q000191:economics; D003625:Data Collection; D005069:Evaluation Studies as Topic; D007345:Insurance Claim Review; D007350:Insurance, Hospitalization / Q000706:statistics & numerical data*; D008962:Models, Theoretical; D010343:Patient Admission / Q000191:economics*; D010819:Physician's Role; D012107:Research Design; D012941:Social Responsibility; D014481:United States; D014600:Utilization Review