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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 ...
URAC is a Washington, DC–based non-profit organization [1] that provides accreditation of organizations involved in medical care services, as well as education and measurement programs. Founded under the name Utilization Review Accreditation Commission in 1990, the name was shortened to the acronym URAC in 1996. [2]
Reprinted in Women and Health, January–February 1976 (US) and Social Science & Medicine vol. 2 1977 (Great Britain). [14] C.F. Muller, Review of Twenty Years of Research on Medical Care Utilization, Health Services Research, June 1986, Part 1. [15] C. F. Muller, Health Care and Gender—BOOK—Russell Sage Foundation, 1990, (paperback 1992). [2]
The relationship between education and health was expanded in the model by Isaac Ehrlich. [5] Regarding the relationship between education and medical care demand, one important question is whether the marginal efficiency of capital elasticity with respect to education is less than or greater than one.
The marginal cost of health capital can be found by adding these variables: = +. The marginal benefit of health capital is the rate of return from this capital in both market and non-market sectors. In this model, the optimal health stock can be impacted by factors like age, wages and education.
Capital Health was a public health authority providing complete health services to Edmonton, Alberta's capital city, and its surrounding communities. It was also the largest single employer in the province of Alberta, employing approximately 30,000 people. [1] In 2008, it was merged into Alberta Health Services.
Unnecessary health care (overutilization, overuse, or overtreatment) is health care provided with a higher volume or cost than is appropriate. [1] In the United States, where health care costs are the highest as a percentage of GDP, overuse was the predominant factor in its expense, accounting for about a third of its health care spending ($750 billion out of $2.6 trillion) in 2012.
Medical doctors per 1,000 people in 2018. [1]Health human resources (HHR) – also known as human resources for health (HRH) or health workforce – is defined as "all people engaged in actions whose primary intent is to enhance positive health outcomes", according to World Health Organization's World Health Report 2006. [2]
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