Waiting times for surgical procedures

被引:38
作者
DeCoster, C
Carriere, KC
Peterson, S
Walld, R
MacWilliam, L
机构
[1] Univ Manitoba, Manitoba Ctr Hlth Policy & Evaluat, Fac Med, Dept Community Hlth Sci, Winnipeg, MB R3E 0W3, Canada
[2] Univ Alberta, Dept Math Sci, Edmonton, AB, Canada
关键词
waiting times; waiting lists; surgery; public private;
D O I
10.1097/00005650-199906001-00016
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
OBJECTIVES. Polls show that nearly two thirds of Canadians believe that waiting times prior to surgery have increased in recent years. A study was undertaken in Manitoba to determine whether public perceptions about long and increasing waits were valid. RESEARCH DESIGN. Using administrative data, waiting times for 10 types of surgery-ranging from coronary artery bypass surgery and mastectomy to cataract surgery and hernia repairs-were studied over a 5-year period. RESULTS. Using each patient's preoperative visit to the surgeon as the beginning of the waiting time, median waiting times for most of the procedures studied were found to have, in fact, remained stable or fallen slightly over the period studied. CONCLUSIONS. Further, an examination of waiting times for cataract surgery demonstrated that allowing surgeons to practice in both public and private arenas seems to be counterproductive to providing good public service.
引用
收藏
页码:JS187 / JS205
页数:19
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