Prioritizing surgical waiting lists

Journal of Evaluation in Clinical Practice
Angela TestiGiancarlo Torre

Abstract

This paper deals with the problem of surgical waiting lists and is aimed, in particular, at comparing two different prioritization approaches: (1) the clinical assessment of treatment urgency aimed at categorizing patients into urgency-related groups (URGs) with a given recommended maximum waiting time for treatment; and (2) the implementation of an original prioritization scoring algorithm aimed at determining the relative priority of each patient in the waiting list and the corresponding order of admission. A modelling exercise based on a cohort of 236 patients enrolled on the waiting list of a surgical department in an Italian public university hospital, from 1 January to 30 June 2004, is presented. The comparison is based on a measure called need-adjusted-waiting-days, which allows to take into proper account both urgency and priority. The results show that both methods should be implemented simultaneously for increasing the department's performance in terms of both efficiency--outcome gained from a given amount of resources--and equity--how patients are admitted according to their need. Waiting list prioritization should not be limited to classifying patients into URGs, but to using a scoring system as well, in order to sc...Continue Reading

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Citations

Jul 5, 2007·Health Care Management Science·Angela TestiGiancarlo Torre
Jan 3, 2009·BMC Health Services Research·Roberto ValenteGianluca Ansaldo
May 23, 2014·Journal of Medical Systems·Christophe Van Huele, Mario Vanhoucke
Jun 18, 2010·Journal of Evaluation in Clinical Practice·Antonio EscobarBerta Ibañez
May 20, 2015·BMC Medical Informatics and Decision Making·Simone BarbagalloAngela Testi
Jun 9, 2016·Health Care Management Science·Yasar A OzcanAngela Testi
Aug 30, 2011·Australian Health Review : a Publication of the Australian Hospital Association·Katherine E HardingSandra G Leggat
Jan 16, 2019·Health Care Management Science·Ana BatistaDavid Pozo
Jan 12, 2010·Health Care Management Science·Angela Testi, Elena Tànfani
Feb 23, 2019·The International Journal of Health Planning and Management·Vivienne C BacheletVíctor A Carrasco
Feb 20, 2018·Health Economics, Policy, and Law·Sally Sheard

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