Waiting time prioritisation for specialist services in Italy: The homogeneous waiting time groups approach

被引：20

作者：

Mariotti, Giuliano ^{[1
]}

Siciliani, Luigi ^{[2
]}

Rebba, Vincenzo ^{[3
]}

Fellini, Rita ^{[1
]}

Gentilini, Maria ^{[4
]}

Benea, Giorgio ^{[5
]}

Bertoli, Pierpaolo ^{[6
]}

Bistolfi, Lorenzo ^{[7
]}

Brugaletta, Salvatore ^{[8
]}

Camboa, Pierluigi ^{[9
]}

Casucci, Paola ^{[10
]}

Dessi, Dino ^{[11
]}

Faronato, Pierpaolo ^{[12
]}

Galante, Mariangela ^{[13
]}

Gioffredi, Alessio ^{[14
]}

Guarino, Teresa Maria ^{[15
]}

Pofi, Enrico ^{[16
]}

Liva, Carlo ^{[17
]}

机构：

[1] LHU APSS, Hosp Rovereto, Med Direct, I-38068 Rovereto, Italy

[2] Univ York, Dept Econ & Related Studies, York YO10 5DD, N Yorkshire, England

[3] Univ Padua, Dept Econ & Management, Padua, Italy

[4] LHU APSS, Epidemiol Serv, I-38123 Trento, Italy

[5] LHU Ferrara Prov, Dept Radiol, Ferrara, Italy

[6] LHU Bozen Prov, Hosp Merano, Merano, Italy

[7] LHU Genova, Genoa, Italy

[8] LHU Ragusa, Ragusa, Italy

[9] LHU Lecce, Maglie, Italy

[10] Reg Hlth Author Umbria Reg, Dept Hlth Informat Syst, Perugia, Italy

[11] LHU Savona, Savona, Italy

[12] LHU Treviso, Treviso, Italy

[13] LHU 2 Lanciano Vasto Chieti, Governance Outpatient Serv, Chieti, Italy

[14] LHU Feltre, Feltre, Italy

[15] Hosp Potenza, Potenza, Italy

[16] LHU Viterbo, Hosp Viterbo, Rome, Italy

[17] Natl Agcy Reg Healthcare Serv, Rome, Italy

来源：

HEALTH POLICY | 2014年 / 117卷 / 01期

关键词：

Outpatient services; Waiting lists; Prioritisation; Primary care; Diffusion of innovation; HEALTH-CARE; PRIORITY; REFERRALS; CANADA; CANCER; LISTS;

D O I：

10.1016/j.healthpol.2014.01.018

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：

The demand for referrals and diagnostic procedures in Italy has been rising constantly in recent years, making access to diagnostic services increasingly difficult with significant waiting times. A number of Health Authorities (known as Local Health Units) have responded by implementing formalised waiting-time prioritisation tools, giving rise to what are known as Homogeneous Waiting Groups (HWGs). The study describes the implementation of the HWG approach in Italy. This represents a promising tool for improving the prioritisation of patients waiting to see a specialist or to receive a diagnostic test. The study of the Italian HWG experience provides useful insights to improve the outpatient referral process for those countries where the demand prioritisation policies have focused more on inpatient care than outpatient specialist care and diagnostic services. (C) 2014 Elsevier Ireland Ltd. All rights reserved.

引用

页码：54 / 63

页数：10

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