| DUR | drug use review; drug utilization review |
|---|---|
| MEDPAR | Medical Provider Analysis and Review; Medicare Provider Analysis and Review |
| AAPPO | American Association of Preferred Provider Organizations |
| CIOMS | Council for International Organizations of Medical Sciences |
| COSSMHO | [National] Coalition of Hispanic Health and Human Services Organizations |
| review, multicase | A type of review literature giving demographic, laboratory, and clinical data on a group of persons or animals ranging from most of the known cases of a rare condition in large populations on whom the results of research will lead to the establishing of epidemiological analyses or predictions of the occurrence and natural history of diseases. It is differentiated from review of reported cases in that the latter generally reports a single case as a supplement to a presentation, however brief and limited, of other cases known to have been reported. (12 Dec 1998) |
|---|---|
| review of reported cases | Literature reporting - to the best of the author's ability - all known cases of a disease. The study is usually generated by the investigator's encounter with patients with a given disease and includes the investigator's own cases. The range of time will encompass historical cases and recent cases. The review usually cites the literature in which the known cases were published and may or may not include clinical and laboratory data. (12 Dec 1998) |
| review, tutorial | A type of review citing literature that will give the user a general and reasonably thorough coverage of a subject with which he may or may not be familiar. It often substitutes as a refresher course for a physician to update his or her awareness or as a crash course for a student unfamiliar with the subject. (12 Dec 1998) |
| physician payment review commission | A commission created by the consolidated omnibus reconciliation act of 1985, enacted in 1986, and given the mandate to advise congress on medicare-physician payment. The commission members are appointed by the u.s. Office of technology assessment. (12 Dec 1998) |
| concurrent review | Review of the medical necessity of hospital or other health facility admissions, upon or within a short time following an admission, and periodic review of services provided during the course of treatment. (12 Dec 1998) |
| scientific integrity review | Designation for reports by the united states office of research integrity, identifying questionable research published in articles or books. Notification of the questionable data is carried in the nih guide for grants and contracts. (12 Dec 1998) |
| drug utilization review | Formal programs for assessing drug prescription against some standard. Drug utilization review may consider clinical appropriateness, cost effectiveness, and, in some cases, outcomes. Review is usually retrospective, but some analysis may be done before drugs are dispensed (as in computer systems which advise physicians when prescriptions are entered). Drug utilization review is mandated for medicaid programs beginning in 1993. (12 Dec 1998) |
| insurance claim review | Review of claims by insurance companies to determine liability and amount of payment for various services. The review may also include determination of eligibility of the claimant or beneficiary or of the provider of the benefit; determination that the benefit is covered or not payable under another policy; or determination that the service was necessary and of reasonable cost and quality. (12 Dec 1998) |
| utilization review | An organised procedure carried out through committees to review admissions, duration of stay, professional services furnished, and to evaluate the medical necessity of those services and promote their most efficient use. (12 Dec 1998) |
| allied health professional | An individual trained to perform services in the care of patients other than a physician or registered nurse; includes a variety of therapy technicians (e.g., pulmonary), radiology technicians, physical therapists, etc. (05 Mar 2000) |
| burnout, professional | An excessive stress reaction to one's occupational or professional environment. It is manifested by feelings of emotional and physical exhaustion coupled with a sense of frustration and failure. (12 Dec 1998) |
| commission on professional and hospital activities | The non-profit, non-governmental organization which collects, processes, and distributes data on hospital use. Two programs of the commission are the professional activity study and the medical audit program. (12 Dec 1998) |
| professional autonomy | The quality or state of being independent and self-directing, especially in making decisions, enabling professionals to exercise judgment as they see fit during the performance of their jobs. (12 Dec 1998) |
| professional competence | The capability to perform the duties of one's profession generally, or to perform a particular professional task, with skill of an acceptable quality. (12 Dec 1998) |
| professional corporations | Legally authorised corporations owned and managed by one or more professionals (medical, dental, legal) in which the income is ascribed primarily to the professional activities of the owners or stockholders. (12 Dec 1998) |