Willingness of patients to change surgeons for a shorter waiting time for joint arthroplasty

Conner‐Spady, Barbara; Sanmartin, Claudia; Johnston, Geoffrey; McGurran, John; Kehler, Melissa D.; Noseworthy, Tom

doi:10.1503/cmaj.071659

Cited by 19 publications

(16 citation statements)

References 25 publications

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“…Cataract patients generally accepted waiting times of three months and less, while waiting times of six months or more were perceived as too long [46,47]. In a hypothetical study patients reported that for each additional hour of travel time they would, on average, require a reduction of in the waiting time of 2.3 months [48].…”

Section: Discussionmentioning

confidence: 99%

Which factors decided general practitioners’ choice of hospital on behalf of their patients in an area with free choice of public hospital? A questionnaire study

Birk

Henriksen

2012

BMC Health Serv Res

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BackgroundParts of New Public Management-reforms of the public sector depend on introduction of market-like mechanisms to manage the sector, like free choice of hospital. However, patients may delegate the choice of hospital to agents like general practitioners (GPs). We have investigated which factors Danish GPs reported as decisive for their choice of hospital on behalf of patients, and their utilisation of formal and informal data sources when they chose a hospital on behalf of patients.MethodsRetrospective questionnaire study of all of the 474 GPs practising in three counties which constituted a single uptake area. Patients were free to choose a hospital in another county in the country. The GPs were asked about responsibility for choice of the latest three patients referred by the GP to hospital; which of 16 factors influenced the choice of hospital; which of 15 sources of information about clinical quality at various hospitals/departments were considered relevant, and how often were six sources of information about waiting time utilised.ResultsFifty-one percent (240 GPs) filled in and returned the questionnaire. One hundred and eighty-three GPs (76%) reported that they perceived that they chose the hospital on behalf of the latest referred patient. Short distance to hospital was the most common reason for choice of hospital.The most frequently used source of information about quality at hospital departments was anecdotal reports from patients referred previously, and the most important source of information about waiting time was the hospitals’ letters of confirmation of referrals.ConclusionsIn an area with free choice of public hospital most GPs perceived that they chose the hospital on behalf of patients. Short distance to hospital was the factor which most often decided the GPs’ choice of hospital on behalf of patients. GPs attached little weight to official information on quality and service (waiting time) at hospitals or departments, focusing instead on informal sources like feedback from patients and colleagues and their experience with cooperation with the department or hospital.

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Section: Discussionmentioning

confidence: 99%

Which factors decided general practitioners’ choice of hospital on behalf of their patients in an area with free choice of public hospital? A questionnaire study

Birk

Henriksen

2012

BMC Health Serv Res

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“…Previous research exploring patients' attitudes and views towards next available surgeon and reduced waiting times for TJR highlighted the central importance of individual patient preferences and information requirements 12 . In the context of patients who have already had the initial surgeon visit (first consultation), Conner-Spady et al, examined the willingness of patients to change surgeons in exchange for a shorter waiting time for TJR 13 . This study concluded that most patients (63%) are unlikely to consider changing surgeons to one with a shorter waiting time, although some were prepared to do so 13 .…”

Section: Introductionmentioning

confidence: 99%

“…In the context of patients who have already had the initial surgeon visit (first consultation), Conner-Spady et al, examined the willingness of patients to change surgeons in exchange for a shorter waiting time for TJR 13 . This study concluded that most patients (63%) are unlikely to consider changing surgeons to one with a shorter waiting time, although some were prepared to do so 13 . Few studies have explored the trade-offs patients are willing to make to reduce waiting times for TJR prior to the initial surgeon visit and none have applied quantitative methods to reflect the weight and importance of different choices 8 .…”

Section: Introductionmentioning

confidence: 99%

How do patients trade-off surgeon choice and waiting times for total joint replacement: a discrete choice experiment

Marshall

Deal

Conner‐Spady

et al. 2018

Osteoarthritis and Cartilage

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“…For example, when two groups of patients before and after joint replacement surgery were surveyed, being in the postoperative surgery group predicted the likelihood to change surgeons to achieve a shorter wait time. 35 Although this review provides a description of the current state of the literature on the patient perspective of waiting for scheduled surgery, several questions remain. Opportunities exist to further explore patient conceptions of time, waiting, and coping with the preoperative period.…”

Section: Limitationsmentioning

confidence: 99%

Waiting for surgery from the patient perspective

Carr

Teucher²,

Mann³

et al. 2009

PRBM

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The aim of this study was to perform a systematic review of the impact of waiting for elective surgery from the patient perspective, with a focus on maximum tolerance, quality of life, and the nature of the waiting experience. Searches were conducted using Medline, PubMed, CINAHL, EMBASE, and HealthSTAR. Twenty-seven original research articles were identified which included each of these three themes. The current literature suggested that first, patients tend to state longer wait times as unacceptable when they experienced severe symptoms or functional impairment. Second, the relationship between length of wait and health-related quality of life depended on the nature and severity of proposed surgical intervention at the time of booking. Third, the waiting experience was consistently described as stressful and anxiety provoking. While many patients expressed anger and frustration at communication within the system, the experience of waiting was not uniformly negative. Some patients experienced waiting as an opportunity to live full lives despite pain and disability. The relatively unexamined relationship between waiting, illness and patient experience of time represents an area for future research.

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Willingness of patients to change surgeons for a shorter waiting time for joint arthroplasty

Cited by 19 publications

References 25 publications

Which factors decided general practitioners’ choice of hospital on behalf of their patients in an area with free choice of public hospital? A questionnaire study

Which factors decided general practitioners’ choice of hospital on behalf of their patients in an area with free choice of public hospital? A questionnaire study

How do patients trade-off surgeon choice and waiting times for total joint replacement: a discrete choice experiment

Waiting for surgery from the patient perspective

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