“…Standardized wait times rules, which provide the clinics with a definition of each key event date from referral through surgery, have also been adopted in other parts of the world . Clinic tools for triaging patients , such as pain and functionality questionnaires, are used in Spain, and patient choice of next available or specific surgeon is available in the UK. Where MSK specialists are used to screen patients for consultation in Alberta's clinics, a similar screening practice is followed in Ontario central intake clinics using advanced‐practice physiotherapists .…”
Our results suggest that variation in referral processing led to increased waiting times for patients. The large proportion of total wait attributable to waiting for a surgical consultation makes failure to measure and evaluate this period a significant omission. Improving referral processes and decreasing variation between clinics would improve patient access to these specialist referrals in Alberta.
“…Standardized wait times rules, which provide the clinics with a definition of each key event date from referral through surgery, have also been adopted in other parts of the world . Clinic tools for triaging patients , such as pain and functionality questionnaires, are used in Spain, and patient choice of next available or specific surgeon is available in the UK. Where MSK specialists are used to screen patients for consultation in Alberta's clinics, a similar screening practice is followed in Ontario central intake clinics using advanced‐practice physiotherapists .…”
Our results suggest that variation in referral processing led to increased waiting times for patients. The large proportion of total wait attributable to waiting for a surgical consultation makes failure to measure and evaluate this period a significant omission. Improving referral processes and decreasing variation between clinics would improve patient access to these specialist referrals in Alberta.
“…Prioritization aims to improve fairness and equity, as it attempts to triage patients with greater needs to be treated first 9 . The MAPT score was developed as part of the OWL project to assist in prioritizing referrals to orthopaedic specialist clinics.…”
Section: Discussionmentioning
confidence: 99%
“…Prioritization aims to improve fairness and equity, as it attempts to triage patients with greater needs to be treated first. 9 The MAPT score was developed as part of the OWL project to assist in prioritizing referrals to orthopaedic specialist clinics. It has been demonstrated in previous studies 1 to correlate strongly with other arthritis severity measures such as the WOMAC, Oxford Hip and Knee score and quality-of-life assessment tools such as Assessment of Quality Of Life (AQoL).…”
The sample data suggests that there is no significant relationship between the MAPT score and radiographic severity of OA, or between MAPT score and surgical waitlist category of patients with OA waitlisted for a THR/TKR.
“…This study was carried out in two phases. The first was the development [10] and validation [12] in a cohort of patients of a priority tool for hip or knee replacement in the context of the IRYSS (The Spanish Network on Health Outcomes and Health Services Research). Subsequently, we applied a prioritization tool developed by the Catalan Agency for Health Technology Assessment to the same sample of patients for comparative purposes.…”
Results support the hypothesis that if the final objective of the prioritization tools is to organize and sort patients on the waiting list, although they use different methodologies, the results are similar.
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