Prolonged wait time is associated with increased mortality for Chilean waiting list patients with non-prioritized conditions

BMC Public Health
Diego A MartinezDiana Prieto

Abstract

Most data on mortality and prognostic factors of universal healthcare waiting lists come from North America, Australasia, and Europe, with little information from South America. We aimed to determine the relationship between medical center-specific waiting time and waiting list mortality in Chile. Using data from all new patients listed in medical specialist waitlists for non-prioritized health problems from 2008 to 2015 in three geographically distant regions of Chile, we constructed hierarchical multivariate survival models to predict mortality risk at two years after registration for each medical center. Kendall rank correlation analysis was used to measure the association between medical center-specific mortality hazard ratio and waiting times. There were 987,497 patients waiting for care at 77 medical centers, including 33,546 (3.40%) who died within two years after registration. Male gender (hazard ratio [HR] = 1.17, 95% confidence interval [CI] 1.1-1.24), older age (HR = 2.88, 95% CI 2.72-3.05), urban residence (HR = 1.19, 95% CI 1.09-1.31), tertiary care (HR = 2.2, 95% CI 2.14-2.26), oncology (HR = 3.57, 95% CI 3.4-3.76), and hematology (HR = 1.6, 95% CI 1.49-1.73) were associated with higher risk of mortality at each m...Continue Reading

References

Dec 30, 1998·The Gerontologist·F Porell, F G Caro
Jan 12, 2000·Medical Care·D B Mukamel, W D Spector
Sep 9, 2000·Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society·R B Freeman, E B Edwards
Jun 5, 2002·Arquivos brasileiros de cardiologia·Nagib HaddadJosé Eduardo M R Sousa
Jan 30, 2004·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Fernando Henpin Yue CesenaProtásio Lemos da Luz
Sep 8, 2005·Computer Methods and Programs in Biomedicine·Virginie Rondeau, Juan R Gonzalez
Dec 26, 2006·Lancet·Luz M Letelier, Paula Bedregal
Jun 15, 2007·Psychological Methods·Craig K Enders, Davood Tofighi
Jul 17, 2007·Health Affairs·Sharon WillcoxJack V Tu
May 14, 2008·Health Affairs·Verónica Vargas, Sergio Poblete
Jun 21, 2008·International Journal of Cancer. Journal International Du Cancer·Marcelo E AndiaCatterina Ferreccio
Sep 2, 2008·Journal of Medical Ethics·J Burrows
Dec 3, 2008·CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne·Gabriel BastíasVíctor Zárate
Dec 20, 2008·Lancet·Gunilla BackmanCristian Vladescu
Jun 12, 2010·Bulletin of the World Health Organization·David B Evans, Carissa Etienne
Jan 14, 2011·Lancet·K Srinath ReddyUNKNOWN Lancet India Group for Universal Healthcare
Jul 16, 2011·Gaceta sanitaria·M A Nieves Domínguez GonzálezM A Montserrat García Sixto
Dec 20, 2012·International Journal for Equity in Health·Guillermo Paraje, Felipe Vásquez
Aug 8, 2013·Health Policy and Planning·Patricia FrenzSam Harper
Jan 1, 2011·Longitudinal and Life Course Studies·James BanksJames P Smith
Dec 18, 2014·Journal of the National Cancer Institute·Christopher P WildJohn McLaughlin
Jan 30, 2015·Salud pública de México·David Contreras-LoyaGermán Fajardo-Dolci
Mar 13, 2015·Biological Research·Jorge Jimenez de la JaraGareth I Owen
Apr 8, 2015·Lancet·Anne-Emanuelle Birn, Laura Nervi
Sep 30, 2016·Cancer Epidemiology·M Isabel IzarzugazaMónica S Sierra
Apr 14, 2018·Revista médica de Chile·César Del Castillo SmGabriel Cavada Ch

❮ Previous
Next ❯

Citations

Aug 5, 2020·Journal of Public Health Policy·Claudio A MéndezMartin McKee
Oct 18, 2020·BMC Medicine·Ruth McCabeKatharina Hauck
Aug 18, 2021·Health Care Management Science·Jorge A AcunaDiego A Martinez

❮ Previous
Next ❯

Software Mentioned

survival
R scripts
coxme
frailtypack
R
MINSAL

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Stress : the International Journal on the Biology of Stress
Sarinnapha VasunilashornNoreen Goldman
Canadian Family Physician Médecin De Famille Canadien
Cal Gutkin
CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne
Blair J O'Neill, Chris S Simpson
© 2022 Meta ULC. All rights reserved