According to Ricky, a senior consultant at Myassignmenthelp, “the Utilization review is referred to as the opportunity of any kind of company accountable for making insurances of the heath for reviewing the requests for any sort of medical treatment. The main aim of this particular review is to confirm that the particular plan helps in covering the entire medical services of any particular person. This particular review also helps the organization which is accountable for providing the insurances of health in minimization of the cost of all their respective services which are being provided by them.”
In addition to this, this particular review also helps these kinds of organizations in determining whether the procedure of the treatment which was recommended by them was appropriate or not. This type of review also provides an opportunity to all the patients for the aim of confirming that their respective plan of health is successful in providing an adequate amount of coverage for any specific condition.
Apart from this, as an outcome of this particular utilization review, if the coverage of certain conditions of any patient is denied by the company itself, then patients can always appeal for the decision. In addition to this, the other term which gets added with this kind of review is frequently utilized interchangeably along with the utilization review.
In other words…
Utilization review is also referred to as a condemning examination that is performed by either a nurse or a physician or a medical professional of the services of health-care. These kinds of services of healthcare are provided to all the patients with the aim of controlling the entire costs by the procedure of the identification of several medical processes that are not necessarily needed. It also involves the monitoring of the levels of the quality of the care which is being provided to all the patients. The difference of utilization review and utilization management is that utilization management is basically a potential process that takes place prior to as well as at the time of the procedure of admission, treatment, or procedure whereas the utilization review is backdated in nature.
In simple words…
Utilization review could be defined as a particular procedure of ensuring that the entire services of healthcare are utilized in a proper manner. The main goal of the utilization review lies in ensuring that higher levels of care are being received by all the patients. In addition to this, this particular care that gets provided to all the patients, in turn, gets administered through several kinds of proven methods along with the inclusion of appropriate providers of health care.
This also focuses that the care which is being provided to all the patients must get delivered within an appropriate setting with the presence of new as well as advanced equipment for the aim of improving the ongoing conditions of the health of the patient. The most interesting fact is that three kinds of assessments are contained under this review namely concurrent, retrospective, and lastly perspective.
How to write a critical review?
For writing the introduction part of a critical review, the readers should be provided with text which is yet to be reviewed along with brief explanation of the topic of the selected text.
“A critical review could be written by following of several kinds of procedures. This particular procedure comprises of the presentation of the ideas within the original text in an accurate manner”- says Keira a writing expert at Myassignmenthelp. This in turn focuses on ensuring that all the main and the important questions of the have been covered which are aimed by the text to be addressed.
This involves the discussion of all the important and the essential points with respect to the given topic. It focuses on the procedure of the inclusion of the evidence. These particular evidences are in turn utilized by the text for the aim of supporting the argument which is being presented within the critical review along with its respective conclusion.
Procedures of writing a critical review
The procedures of writing a critical review focuses on ensuring both understandability as well as the consistency of the summary with respect to the new readers who have never read the actual text. In addition to this, it also focuses on ensuring the section of the summary is comparatively short in size with respect to that of the section of evaluation which gets followed by it.
Next comes the summary section which gets constructed on the basis of the ideas of the author regarding which neither judgments nor arguments could be made. In simple words, writing a critical review involves planning of the approaches as to how an article or a research paper could be reviewed in a critical manner.
It involves the determination of the main criteria along with the identification of exact proportions with respect to which the reviewer would dedicate to the portion of summary as well as the portion of the evaluation. The reviewer needs to focus on the evidence along with his or her key answers or findings for analyzing any paper of research in a critical manner.
The reviewer should also possess several kinds of capabilities for analyzing the significance along with the implications of the finding which were made by him or her. In addition to this, the entire merits, as well as the demerits of the text, needs to be looked upon before the commencement of the analysis of the given text in a critical procedure. The appropriateness of sufficiency of data also needs to be considered for the aim of writing these kinds of reviews.
An important role is also played by the inclusion of the discussion of the main issues which are linked with that particular text. On the other hand, the construction of the argument, as well as ideas with respect to the selected text, becomes an essential factor in the context of writing a review in a critical manner. The importance of the selected topic needs to be described in this particular kind of review. This type of review additionally focuses on the weakness along with the strength of the text.