Appropriateness Criteria

Appropriateness Criteria are evidence-based guidelines used by healthcare professionals to determine the most suitable medical tests or treatments for specific patient situations. They help ensure that patients receive necessary care while avoiding unnecessary procedures, reducing risks, and controlling costs. By following these criteria, providers can make informed decisions that balance benefits and harms, leading to better health outcomes. Essentially, they serve as a quality assurance tool to guide appropriate, effective, and efficient medical decision-making.