title: Assessing the appropriateness of hospital utilization to improve efficiency and competitive position.
abstract: A hospital, induced by a certificate of need process and a newly competitive health care environment, made the transition from passive response to outside pressures to active utilization control.
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D002567:Certificate of Need; D004526:Efficiency; D005260:Female; D006746:Hospital Bed Capacity, 500 and over; D006784:Hospitals, Teaching / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010343:Patient Admission; D012107:Research Design; D012189:Retrospective Studies; D014481:United States; D014600:Utilization Review / Q000379:methods*