Waiting lists for radiation therapy: a case study

BMC Health Services Research
D P D'SouzaP A Singer

Abstract

Why waiting lists arise and how to address them remains unclear, and an improved understanding of these waiting list "dynamics" could lead to better management. The purpose of this study is to understand how the current shortage in radiation therapy in Ontario developed; the implications of prolonged waits; who is held accountable for managing such delays; and short, intermediate, and long-term solutions. A case study of the radiation therapy shortage in 1998-99 at Princess Margaret Hospital, Toronto, Ontario, Canada. Relevant documents were collected; semi-structured, face-to-face interviews with ten administrators, health care workers, and patients were conducted, audio-taped and transcribed; and relevant meetings were observed. The radiation therapy shortage arose from a complex interplay of factors including: rising cancer incidence rates; broadening indications for radiation therapy; human resources management issues; government funding decisions; and responsiveness to previous planning recommendations. Implications of delays include poorer cancer control rates; patient suffering; and strained doctor-patient relationships. An incompatible relationship exists between moral responsibility, borne by government, and legal liab...Continue Reading

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Citations

Sep 2, 2008·Acta Oncologica·Mette Skovhus Thomsen, Ole Nørrevang
Nov 21, 2013·SpringerPlus·Amalia PlotogeaUNKNOWN Breast Screening Study Group
Mar 24, 2020·International Journal of Health Policy and Management·Solbjørg Makalani Myrtveit SætherMagne Myrtveit
Oct 7, 2006·American Journal of Clinical Oncology·Sergio L FariaCarolyn R Freeman
Jan 24, 2007·Medical Decision Making : an International Journal of the Society for Medical Decision Making·Lydia Kapiriri, Douglas K Martin
Oct 16, 2012·Radiation Oncology·Caitlin GillanDavid Wiljer

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