Hospital-reviewer relations and effective utilization review.
A survey of utilization review nurses revealed substantial variation in the relationships between these nurses and the hospitals at which they review cases. Hospitals providing reviewers with complete responses to questions were associated with high levels of utilization review compliance, which was a significant factor in explaining the savings associated with utilization review. Improving relations between hospitals and utilization reviewers may yield higher levels of utilization review compliance and significant cost savings.
Department of Health Services Management and Policy, University of Michigan, Ann Arbor 48109.
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D003144:Communication Barriers; D017046:Cost Savings; D005069:Evaluation Studies as Topic; D006302:Health Services Research; D006764:Hospitals, Community / Q000191:economics / Q000706:statistics & numerical data*; D006801:Humans; D007196:Indiana; D007400:Interprofessional Relations; D016018:Least-Squares Analysis; D016015:Logistic Models; D009726:Nurses / Q000706:statistics & numerical data*; D012044:Regression Analysis; D011795:Surveys and Questionnaires; D014600:Utilization Review / Q000191:economics / Q000458:organization & administration* / Q000706:statistics & numerical data