Abstract

There are two reasons why utilization review is an essential component of institutional medical practice today. The first has to do with excellence. It is true, despite frequent comment and occasional defections, that physicians have a basic desire to provide the best possible treatment for their patients, that they recognize the constantly increasing impossibility of any one man keeping up with the growth and shift of medical knowledge, that they accept the fact that medical practice can be kept at its best possible level not only by continuing study and constant reappraisal but by a regular quest for objective evaluation by their peers. The critics who object that self-policing is a case of 'I police you' and 'you police me' have the correct version. Objectivity is thereby achieved. Nor can it be overlooked that evaluation of medical practice is best done by other medical practitioners—not by nonmedical persons who do

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