Intervención para reducir la variabilidad de las indicaciones quirúrgicas y la lista de espera de pacientes con prioridad 1. Una experiencia en Galicia

Abstract

The aims of this study were to homogenize priority 1 surgical indications in Galician hospitals and propose a methodology designed to ensure that that the waiting times of priority 1 patients do not exceed 30 days. The priority 1 surgical indications of the distinct surgical services in Galicia were obtained and reviewed and were then sent for validation to the scientific societies. To reduce waiting times to less than 30 days, a procedure of periodic patient monitoring was established, with allocation of tasks to all the parties involved. Comparison of the mean waiting times before and after the implantation of periodic monitoring showed that this procedure reduced the mean waiting time by 55.7%. The mean waiting time was reduced in all the surgical specialities except one. In almost all of the surgical specialities, the procedure established reduced the number of patients on the waiting lists and the mean waiting time to less than 30 days.

Study Protocol on Social Return on Investment (SROI) Project of the Surgical Waiting List Management System

“…This definition excludes any intervention considered urgent. An excess of demand, compared to the available supply, leads to an increase in waiting lists [ 2 ], with diagnostic and surgical procedures being the most in demand [ 3 , 4 , 5 ]. In fact, due to the COVID-19 pandemic, waiting lists have increased by 7% to 14% [ 6 ].…”