Waiting list management: priority criteria or first‐in first‐out? A case for total joint replacement

Escobar, Antonio; Quintana, José M.; González, Marta; Bilbao, Amaia; Ibáñez, Berta

doi:10.1111/j.1365-2753.2008.01056.x

Cited by 22 publications

(16 citation statements)

References 26 publications

(31 reference statements)

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“…Similarly, studies of patients waiting for varicose vein surgery found evidence of significant deterioration in both pre‐treatment (Kelly et al , ) and post‐treatment outcomes (Sarin, et al , ). Although these conclusions are supported by findings in other clinical areas, for example, chronic pain (Lynch, et al , ), other studies of joint replacement (Escobar, et al , ; Brealey et al , ), varicose veins, inguinal hernia and gallstones (Oudhoff, et al , ) find no association between waiting times and outcomes, although anxiety may increase with length of waiting time (Oudhoff, et al , ).…”

Section: Introductionmentioning

confidence: 78%

The Impact of Waiting Time on Health Gains from Surgery: Evidence from a National Patient‐reported Outcome Dataset

2015

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Reducing waiting times has been a major focus of the English National Health Service for many years, but little is known about the impact on health outcomes. The collection of data on patient-reported outcome measures for all patients undergoing four large-volume procedures facilitates analysis of the impact of waiting times on patient outcomes. The availability of patient-reported outcome measures before and after surgery allows us to estimate the impact of waiting times on the effectiveness of treatment, controlling for pre-surgery health and the endogeneity of waiting times caused by prioritisation with respect to pre-intervention health. We find that waiting time has a negative and statistically significant impact on the health gain from hip and knee replacement surgery and no impact on the effectiveness of varicose vein and hernia surgery. The magnitude of this effect at patient level is small, 0.1% of the outcome measure range for each additional week of waiting. However, the value of this effect is substantially larger than existing estimates of the disutility experienced during the waiting period. The health losses associated with an additional week of waiting for annual populations of hip and knee replacement patients are worth £11.1m and £11.5m, respectively. Copyright © 2015 John Wiley & Sons, Ltd.

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Section: Introductionmentioning

confidence: 78%

The Impact of Waiting Time on Health Gains from Surgery: Evidence from a National Patient‐reported Outcome Dataset

2015

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“…Seven documents dealt with payment mechanisms, and one referred to dual medical practice in the public and the private sectors . On the demand side, we found 12 papers on prioritization mechanisms . The charting table that contains the detailed data extraction for the documents included for the qualitative‐conceptual synthesis that falls outside the scope of this article can be found in Appendix S4.…”

Section: Resultsmentioning

confidence: 99%

“…37 On the demand side, we found 12 papers on prioritization mechanisms. [43][44][45]56,57,62,79,84,88,89,102,119 The charting table that contains the detailed data extraction for the documents included for the qualitative-conceptual synthesis that falls outside the scope of this article can be found in Appendix S4. Table 3 provides a summary of the main characteristics of the included studies.…”

Section: Design and Methodological Characteristics Of The Included mentioning

confidence: 99%

Policy strategies to reduce waiting times for elective surgery: A scoping review and evidence synthesis

Bachelet

Goyenechea²,

Carrasco

2019

Health Planning & Management

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Summary Objectives The purpose of this evidence‐based review is to identify and describe the interventions that have been implemented to reduce waiting times for major elective surgery. Methods Scoping review and presentation of the results according to the SUPPORT tools. We searched MEDLINE/PubMed, Embase, Cochrane Library, SciELO, DARE‐HTA, and Google Scholar. The inclusion criteria for research design were comprehensive. Results We identified 5200 records. After eliminating duplicates and screening by title and abstract, 171 records remained for full‐text assessment, of which 12 were ultimately included for this review because they reported specific interventions and 96 records were included for further reference. The included studies show significant variability regarding elective procedures, population, and type of provider, as well as in the characteristics of the interventions and the settings. All the studies had methodological limitations. We graded the certainty of the evidence as very low. Conclusions According to the evidence found for this review, interventions most likely should be multidimensional, with prioritization strategies on the waiting lists to incorporate equity criteria, together with quality management improvements of the surgical pathways and the use of operating rooms, as well as improvements in the planning of the surgical schedule.

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“…En la última década, países como Italia, Nueva Zelandia, Canadá, Gales, y Australia, han implementado sistemas de priorización de pacientes quirúrgicos electivos [9][10][13][14][15] . Generalmente, el diseño de estos sistemas responde al deseo de justicia, oportunidad, transparencia, y consistencia en las decisiones de ingreso y salida de la lista de espera 3,7,[16][17] .…”

Section: Priorización De Listas De Espera En El Mundounclassified

Modelo de gestión de listas de espera centrado en oportunidad y justicia

Julio¹,

Wolff²,

Yarza³

2016

Rev. méd. Chile

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Waiting lists for elective surgery are considered a major health policy concern in most countries of the world. The most common reason to explain this phenomenon is that demand exceeds supply. Traditionally, the management of waiting lists has been focused on timeliness of medical attention. The objective of this paper is to present a waiting lists management model that includes the concepts of timeliness and justice simultaneously. We designed a prioritization method based solely on medical criteria. We developed a computer software to register patients, to prioritize and monitor the waiting lists. The system was implemented in 2013 and is currently used in all surgical specialties at a public hospital. The results show that timeliness does not suffice to manage the waiting lists for elective surgery, and therefore it should be complemented with an indicator of justice. Under this management model, hospitals should attempt to balance justice with timeliness of care and prioritize initiatives that improve both indicators at the same time. In addition, we propose using this model to manage the waiting lists of other hospital processes.

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Waiting list management: priority criteria or first‐in first‐out? A case for total joint replacement

Abstract: The results of the study support the necessity of implementing a prioritization system instead of the actual system if we want to manage the waiting list for joint replacement with clinical equity.

Cited by 22 publications

References 26 publications

The Impact of Waiting Time on Health Gains from Surgery: Evidence from a National Patient‐reported Outcome Dataset

The Impact of Waiting Time on Health Gains from Surgery: Evidence from a National Patient‐reported Outcome Dataset

Policy strategies to reduce waiting times for elective surgery: A scoping review and evidence synthesis

Modelo de gestión de listas de espera centrado en oportunidad y justicia

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