What is the goal of utilization review in a healthcare setting?

The goal of utilization review in a healthcare setting is to evaluate and improve the use of healthcare services. This process is essential for ensuring that patients receive appropriate care while also maintaining cost-effectiveness and efficiency within the healthcare system.

Utilization review involves the assessment of the necessity, appropriateness, and efficiency of healthcare services, procedures, and facilities. By systematically examining these elements, organizations can identify opportunities for enhancing quality of care, minimizing unnecessary procedures, and ensuring that resources are used effectively. This leads to improved patient outcomes and can help align care delivery with established guidelines and best practices.

In contrast, focusing solely on reducing staff working hours, increasing patient volume, or managing supply chain costs does not directly address the essential purpose of utilization review, which is centered around improving patient care and the overall healthcare delivery process.