A Physician's Reflections
Bibliographic Data
| ID | 20337889 |
|---|---|
| Authors | Robert A Berenson (0000-0002-4182-3295, corresponding author) |
| Year | 1989 |
| Volume | 19 |
| Issue | 1 |
| Pages | 12 |
| Publication date | 1989-01-01 |
| Peer Reviewed | Yes |
| Open Access | No |
| Type | ARTICLE |
| Venue | The Hastings Center Report (JOURNAL) |
| Journal identifiers | ISSN: 0093-0334 • E-ISSN: 1552-146X |
| Publisher | JSTOR (PUBLISHER) |
| DOI | 10.2307/3561936 |
| PMID | 2714961 |
| OpenAlex | W2046470996 |
| Language | EN |
| References cited | 1 |
A physician's attempt to hospitalize a 93-year-old patient with\nAlzheimer's disease illustrates that utilization review (UR) determinations\noften are based on criteria that apply imperfectly to individual cases; that\nUR programs are regulatory, not supportive, in design; and that UR outcomes\nfor patients depend inordinately upon the willingness and ability of\nphysicians to become adversarial, rather than upon the merits of the case. \nBerenson presents and critiques alternative solutions to the problem of health\ncare costs and concludes that the implementation of utilization review should\nbe improved by publication of the criteria used to certify hospitalization and\nby standardization of procedures to assign lengths of stay. Physicians will\nbest serve their own interests and those of their patients, not by challenging\nthe imposition of accountability restraints, but by holding those paying the\nbill to high standards for their cost restraint activities. (KIE\nabstract)
Accountability · Actuarial science · Adversarial system · Business · Health care · Political science · Standardization · Health Systems, Economic Evaluations, Quality of Life · Healthcare Policy and Management · Law · Medicine · Palliative Care and End-of-Life Issues · Psychology
| Citation velocity | historical |
|---|---|
| Highly cited | No |