There is the expectation that outcomes research and the promulgation of medical practice guidelines will be able to identify and hopefully reduce the amount of unnecessary or inappropriate medical care through a variety of methods, including utilization review.
However, past efforts by public and private insurers to deny claims on the basis of formal technology assessments or practice guidelines have frequently been overturned by the courts for multifarious reasons.
Mots-clés Pascal : Evaluation, Pratique professionnelle, Technique, Assurance maladie, Recommandation, Législation, Méthodologie, Etats Unis, Amérique du Nord, Amérique
Mots-clés Pascal anglais : Evaluation, Professional practice, Technique, Health insurance, Recommendation, Legislation, Methodology, United States, North America, America
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 94-0680282
Code Inist : 002B30A01B. Création : 09/06/1995.