Abstract
Although the term "quality" is increasingly being used as an adjective in relation to health care, no adequate definition of quality is agreed upon: the definition chosen varies according to the perspective of the viewer, whether patient, physician or administrator. Nevertheless, in the name of "quality" two general types of procedures are being developed and widely applied to health-care systems. Despite some overlap, these procedures are intrinsically driven by quite different motives.One set of procedures — called "concurrent review" — has the clear-cut goal of cost containment and centers around controlling the utilization of hospital beds. Admission certification, continued . . .
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