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The Andersen healthcare utilization model is a conceptual model aimed at demonstrating the factors that lead to the use of health services. According to the model, the usage of health services (including inpatient care, physician visits, dental care etc.) is determined by three dynamics: predisposing factors, enabling factors, and need.
Utilization and Relative Resource Use; Health Plan Descriptive Information; Measures Collected Using Electronic Clinical Data Systems; Measures are added, deleted, and revised annually. For example, a measure for the length of stay after giving birth was deleted after legislation mandating minimum length of stay rendered this measure nearly ...
The Healthcare Cost and Utilization Project (HCUP, pronounced "H-Cup") is a family of healthcare databases and related software tools and products from the United States that is developed through a Federal-State-Industry partnership and sponsored by the Agency for Healthcare Research and Quality (AHRQ).
In the US, the health care reform law (Patient Protection and Affordable Care Act) has forbidden the use of QALYs "as a threshold to establish what type of health care is cost effective or recommended. Also, "The Secretary shall not utilize such an adjusted life year (or such a similar measure) as a threshold to determine coverage ...
Utilization management is "a set of techniques used by or on behalf of purchasers of health care benefits to manage health care costs by influencing patient care decision-making through case-by-case assessments of the appropriateness of care prior to its provision," as defined by the Institute of Medicine [1] Committee on Utilization Management by Third Parties (1989; IOM is now the National ...
Health care efficiency measures compare delivery system outputs, such as physician visits, RVU's, or health outcomes, with inputs like cost, time, or material. Efficiency can be reported then as a ratio of outputs to inputs or a comparison to optimal productivity using stochastic frontier analysis or data envelopment analysis .
NB It is possible to experience an improvement in health-related quality of life with age, for example through healthier life choices. The quality-adjusted life year (QALY) is a generic measure of disease burden, including both the quality and the quantity of life lived.
The Health Utilities Index (HUI) is a rating scale used to measure general health status and health-related quality of life (HRQoL). HUI questionnaires are designed to map onto two classification systems, HUI-2 and HUI-3, capable of measuring 24,000 and 972,000 unique health states, respectively.