Misallocation of respiratory care services: time for a change
1Cleveland Clinic Foundation, OH.
Abstract:
In summary, with increasing scrutiny given to the effectiveness and costs of health care, innovative programs that allocate respiratory care ordering to practitioners based on rigorous, specified appropriateness criteria and/or branching-logic algorithms are a promising solution to respiratory care misallocation. Widespread acceptance and implementation will require staunch medical directors' input and advocacy, therapists' support for new programs and for leaving the comforts of 'traditional' practice, and confirmation of the benefits of Respiratory Therapy Consult Services by more extensive, 'hard-nosed' evaluation.
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