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Correspondence
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Volume 333:1290-1291 November 9, 1995 Number 19
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Computer-Based Drug-Utilization Review

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 by Soumerai, S. B.
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To the Editor: Much of the concern voiced about drug-utilization review by Drs. Soumerai and Lipton (June 15 issue)1 about the lack of proof that this process is cost effective, the lack of attention paid to the underuse of effective medications, and the inadequacy of the criteria used in screening — is on target. This concern also suggests a substantial disconnectedness between the research community and those dealing with drug-utilization review in an operational environment. The rush to managed care and the passage of the Omnibus Budget Reconciliation Act of 1990 resulted in the widespread implementation of drug-utilization review . . . [Full Text of this Article]

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