Managing overutilization, quality of care, and sustainable health care outcomes in Oman

Health Care Manager

Volumn 25, Issue 4, 2006, Pages 348-355

  Abri, Salim M ^a   West Jr , Daniel J ^b   Spinelli, Robert J ^b  

^a Physician and Healthcare Administration   (Oman)

^b UNIVERSITY OF SCRANTON   (United States)

Author keywords

Health care; International health care; Interventions; Overutilization; Quality of care and sustainability

Indexed keywords

HEALTH CARE FACILITY; HEALTH CARE QUALITY; HEALTH SERVICE; HUMAN; OMAN; REVIEW; UTILIZATION REVIEW;

HEALTH FACILITIES; HEALTH SERVICES MISUSE; HUMANS; OMAN; QUALITY OF HEALTH CARE;

EID: 33751036079     PISSN: 15255794     EISSN: None     Source Type: Journal    
DOI: 10.1097/00126450-200610000-00011     Document Type: Review

References (28)

1. Rijckmans MJ, Garretsen HF, van de Goor LA, Bongers IM. Key concepts of demand-driven healthcare; an approach based on client's needs [electronic version]. Med Law. 2005;24(3):463-477.
2. World Reference.com Dictionary. Available at: http://www.worldreference. com/definition/overutilization. Accessed January 8, 2006.
3. Appropriateness of laboratory investigations: report of a crest working group. 2000. Available at: www.crestni.org.uk/publications/lab_investigations. pdf. Accessed January 8, 2006.
4. Bates DW, Kuperman GJ, Rittenberg E, et al. A randomized trial of a computer-based intervention to reduce utilization of redundant laboratory tests. Am J Med. 2003;106(2):144-150.
5. Blackestone ME, Miller RS, Hodgson AJ, Cooper SS, Blackhurst DW, Stein MA. Lowering hospital charges in the trauma intensive care unit while maintaining quality of care by increasing resident and attending physician awareness. J Trauma. 1995;39:1041-1044.
6. Butler GJ, Stolberg HO. The use of cross-sectional diagnostic imaging in a major Canadian healthcare centre. JACR. 2004;55(3):174-177.
7. Ernsr ME, Kelly MW, Hoehns JD, et al. Prescription medication costs: a study of physician familiarity. Am Med Assoc. 2000;9:1002-1007.
8. Fireman B, Bartlett J, Selby J. Can disease management reduce healthcare costs by improving quality [electronic version]. Health Aff. 2005;23(6):63-74.
9. Jacobs CM. Managing demand using clinical decision support tools [electronic version]. Healthc Financ Manage Assoc. 1997;51(7):41-42.
10. Jacobs P, Hall EM, Noseworthy TW. Management control systems for hospital clinical services. CMA. 1994;68(1):19-22.
11. Kason P. Overutilization and M.D. self referrals. Bus Health. 1991;9:74-76.
12. Kindra GS, Taylor DW. Demarketing inappropriate healthcare consumption. J Healthc Mark. 1995;15(2):10-14.
13. MOH Web site. Statistics. Available at: http://www.moh.gov.om/mohstat. php. Accessed January 8, 2006.
14. Mintz DC, Marcus SC, Druss BG, West JC, Brickman AL. Association of utilization management and treatment plan modifications among practicing U.S. psychiatrists. Am J Psychiatry. 2004;161(6):1103-1109.
15. Neilson EG, Johnson KB, Rosenbloom ST, et al. The impact of peer management on test-ordering behavior. Ann Intern Med. 2004;141(3):196-204.
16. Oniki TA, Clemmer TP, Payor TA. The effect of computer reminders on charting deficiencies in the ICU. J Am Med Inform Assoc. 2003;10(2):177-187.
17. Perrin JM, Hampers LC, Cha S, Gutglass DG, Krug SE, Binns HJ. The effect of price information on test-ordering behavior and patient outcomes in a pediatric emergency department. J Ambul Pediatr Assoc. 1999;103:877-882.
18. Sachdeva RC, Jefferson LS, Coss-Bu J, et al. Effects of availability of patient-related charges on practice patterns and cost containment in the pediatric intensive care unit. Crit Care Med. 1996;24:501-506.
19. Smith BJ, McNeely MD. The influence of an expert system for test ordering and interpretation on laboratory investigations. Clin Chem. 1999;45(8):1168-1175.
20. Solomon DH, Hashimoto H, Daltroy L, Liang MH. Techniques to improve physicians' use of diagnostic tests. JAMA. 1998;280(23):2020-2027.
21. Sucov A, Bazarian JJ, deLahunta EA, Spillane L. Test ordering guidelines can alter ordering patterns in an academic emergency department. J Emerg Med. 1998;17(3):391-397.
22. Walraven CV, Naylor CD. Do we know what appropriate laboratory utilization is? A systemic review of laboratory clinical audits. JAMA. 1998;280(6):550-558.
23. Wang TJ, Mort EA, Nordberg P, et al. Utilization management reduces unnecessary testing in the coronary care unit. Arch Intern Med. 2002;162:1885-1890.
24. McDermott , Richard E, Ogden , Joan P. The medical benefits audit. J Account. 1995;179(6):57-61.
25. McNeely M, Smith B. An interactive expert systems for the ordering and interpretation of laboratory tests to enhance diagnosis and control utilization. 1995. Available at: http://www.Aiinc.ca/services/applications/los/medinfo. shtml. Accessed January 8, 2006.
26. Lowe RA. How primary care practice affects Medicaid patients' use of emergency services [electronic version]. Medline, HSR. 2005;10(8):1-4.
27. Malone RE. Whither the almhouse? Overutilization and the role of the emergency department. J Health Polit Policy Law. 1998;23(5):795-833.
28. Kimberly JR. Changing physician behavior: in search of the little blue button. 2000. Available at: http://www.nap.edu/openbook/N100029/html/30.html. Accessed October 27, 2004.