Developing a universal tool for the prioritization of patients waiting for elective surgery
Abstract The objective was to elaborate a priority scoring system for patients on waiting lists for elective surgery to be implemented in the Catalan public health system. This tool should ideally be universal (for all patients and across the entire region) with common criteria and weights (for all...
Gespeichert in:
| Veröffentlicht in: | Health policy (Amsterdam) 2013-11, Vol.113 (1), p.118-126 |
|---|---|
| Hauptverfasser: | , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 126 |
|---|---|
| container_issue | 1 |
| container_start_page | 118 |
| container_title | Health policy (Amsterdam) |
| container_volume | 113 |
| creator | Solans-Domènech, Maite Adam, Paula Tebé, Cristian Espallargues, Mireia |
| description | Abstract The objective was to elaborate a priority scoring system for patients on waiting lists for elective surgery to be implemented in the Catalan public health system. This tool should ideally be universal (for all patients and across the entire region) with common criteria and weights (for all surgical procedures), simple and user-friendly. A tool based on a point-count linear scale ranging from 0 (lowest priority) to 100 (highest priority) was developed. Patients are scored in three major dimensions: clinical and functional impairment, expected benefit, and social role, which include 8 criteria (with their weights): disease severity (23%), pain (or other main symptoms) (14%), rate of disease progression (15%), difficulty in doing activities of daily life (14%), probability and degree of improvement (12%), being dependent with no caregiver (5%), limitation to care for one's dependents (if that be the case) (8%), and limitations in the ability to work, study or seek for employment (9%). As in previous studies developed in Canada, New Zealand and Catalonia, the tool obtained is mainly based on severity and need. The success of this tool depends very much on implementation mechanisms. Furthermore, prior to implementation, a definition of specificities in the selected criteria for the most frequent surgical procedures is advised. |
| doi_str_mv | 10.1016/j.healthpol.2013.07.006 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1550994735</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>1_s2_0_S0168851013001954</els_id><sourcerecordid>1523806464</sourcerecordid><originalsourceid>FETCH-LOGICAL-c621t-857cdc679450fa5e129fe21da442ac7d130c9d17cce3576594251ee0783e8cbd3</originalsourceid><addsrcrecordid>eNqNkktvEzEQgFcIREPhL8BekLgkzPixXl-QqvKUKnEAThws1zvbODjrYO8Gpb--DglF4kJOHlnfPDTzVdULhAUCNq9XiyXZMC43MSwYIF-AWgA0D6oZtorNG5DiYTUrZDtvJcJZ9STnFQAozpvH1RnjmjOBYlZ9f0tbCnHjh5va1tPgt5SyDfUYY6j7mOpxSfUm-Zj86G_t6ONQx77elIiGMde_bPkvuXuUArmxFKjzlG4o7Z5Wj3obMj07vufVt_fvvl5-nF99_vDp8uJq7hqGYxlQuc41SgsJvZWETPfEsLNCMOtUhxyc7lA5R1yqRmrBJBKBajm17rrj59WrQ91Nij8nyqNZ--woBDtQnLJBKUFrobg8ARWoWyZaOAUFxpTU6gSU8RYa0YgTUGyUZFLw_6NCtuXaiLqg6oC6FHNO1JtysrVNO4Ng9sKYlbkXxuyFMaBMEaZkPj82ma7X1N3n_TGkAC-PgM3Ohj7Zwfn8l2sBgf_ewcWBo3LpradksiuKOOp8KlqYLvoThnnzTw0X_OBL2x-0o7yKUxqKSAZNZgbMl73fe72LIYC67OwOPM_2Ag</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1458187119</pqid></control><display><type>article</type><title>Developing a universal tool for the prioritization of patients waiting for elective surgery</title><source>MEDLINE</source><source>PAIS Index</source><source>Elsevier ScienceDirect Journals</source><source>Applied Social Sciences Index & Abstracts (ASSIA)</source><creator>Solans-Domènech, Maite ; Adam, Paula ; Tebé, Cristian ; Espallargues, Mireia</creator><creatorcontrib>Solans-Domènech, Maite ; Adam, Paula ; Tebé, Cristian ; Espallargues, Mireia</creatorcontrib><description>Abstract The objective was to elaborate a priority scoring system for patients on waiting lists for elective surgery to be implemented in the Catalan public health system. This tool should ideally be universal (for all patients and across the entire region) with common criteria and weights (for all surgical procedures), simple and user-friendly. A tool based on a point-count linear scale ranging from 0 (lowest priority) to 100 (highest priority) was developed. Patients are scored in three major dimensions: clinical and functional impairment, expected benefit, and social role, which include 8 criteria (with their weights): disease severity (23%), pain (or other main symptoms) (14%), rate of disease progression (15%), difficulty in doing activities of daily life (14%), probability and degree of improvement (12%), being dependent with no caregiver (5%), limitation to care for one's dependents (if that be the case) (8%), and limitations in the ability to work, study or seek for employment (9%). As in previous studies developed in Canada, New Zealand and Catalonia, the tool obtained is mainly based on severity and need. The success of this tool depends very much on implementation mechanisms. Furthermore, prior to implementation, a definition of specificities in the selected criteria for the most frequent surgical procedures is advised.</description><identifier>ISSN: 0168-8510</identifier><identifier>EISSN: 1872-6054</identifier><identifier>DOI: 10.1016/j.healthpol.2013.07.006</identifier><identifier>PMID: 23932414</identifier><language>eng</language><publisher>Amsterdam: Elsevier Ireland Ltd</publisher><subject>Activities of daily living ; Benefits ; Biological and medical sciences ; Canada ; Caregivers ; Diseases ; Elective surgery ; Elective Surgical Procedures ; Employment ; Female ; Health administration ; Health policy ; Health Priorities ; Health Services Needs and Demand ; Humans ; Internal Medicine ; Male ; Medical sciences ; Miscellaneous ; Multidisciplinary participation ; New Zealand ; Patient Selection ; Patients ; Priorities ; Priority-setting ; Public health ; Public health. Hygiene ; Public health. Hygiene-occupational medicine ; Qualitative techniques ; Risk Factors ; Severity ; Severity of Illness Index ; Spain ; Success ; Surgery ; Symptoms ; Waiting Lists</subject><ispartof>Health policy (Amsterdam), 2013-11, Vol.113 (1), p.118-126</ispartof><rights>Elsevier Ireland Ltd</rights><rights>2013 Elsevier Ireland Ltd</rights><rights>2015 INIST-CNRS</rights><rights>Copyright © 2013 Elsevier Ireland Ltd. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c621t-857cdc679450fa5e129fe21da442ac7d130c9d17cce3576594251ee0783e8cbd3</citedby><cites>FETCH-LOGICAL-c621t-857cdc679450fa5e129fe21da442ac7d130c9d17cce3576594251ee0783e8cbd3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0168851013001954$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3536,27844,27903,27904,30979,65309</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=28010397$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23932414$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Solans-Domènech, Maite</creatorcontrib><creatorcontrib>Adam, Paula</creatorcontrib><creatorcontrib>Tebé, Cristian</creatorcontrib><creatorcontrib>Espallargues, Mireia</creatorcontrib><title>Developing a universal tool for the prioritization of patients waiting for elective surgery</title><title>Health policy (Amsterdam)</title><addtitle>Health Policy</addtitle><description>Abstract The objective was to elaborate a priority scoring system for patients on waiting lists for elective surgery to be implemented in the Catalan public health system. This tool should ideally be universal (for all patients and across the entire region) with common criteria and weights (for all surgical procedures), simple and user-friendly. A tool based on a point-count linear scale ranging from 0 (lowest priority) to 100 (highest priority) was developed. Patients are scored in three major dimensions: clinical and functional impairment, expected benefit, and social role, which include 8 criteria (with their weights): disease severity (23%), pain (or other main symptoms) (14%), rate of disease progression (15%), difficulty in doing activities of daily life (14%), probability and degree of improvement (12%), being dependent with no caregiver (5%), limitation to care for one's dependents (if that be the case) (8%), and limitations in the ability to work, study or seek for employment (9%). As in previous studies developed in Canada, New Zealand and Catalonia, the tool obtained is mainly based on severity and need. The success of this tool depends very much on implementation mechanisms. Furthermore, prior to implementation, a definition of specificities in the selected criteria for the most frequent surgical procedures is advised.</description><subject>Activities of daily living</subject><subject>Benefits</subject><subject>Biological and medical sciences</subject><subject>Canada</subject><subject>Caregivers</subject><subject>Diseases</subject><subject>Elective surgery</subject><subject>Elective Surgical Procedures</subject><subject>Employment</subject><subject>Female</subject><subject>Health administration</subject><subject>Health policy</subject><subject>Health Priorities</subject><subject>Health Services Needs and Demand</subject><subject>Humans</subject><subject>Internal Medicine</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Miscellaneous</subject><subject>Multidisciplinary participation</subject><subject>New Zealand</subject><subject>Patient Selection</subject><subject>Patients</subject><subject>Priorities</subject><subject>Priority-setting</subject><subject>Public health</subject><subject>Public health. Hygiene</subject><subject>Public health. Hygiene-occupational medicine</subject><subject>Qualitative techniques</subject><subject>Risk Factors</subject><subject>Severity</subject><subject>Severity of Illness Index</subject><subject>Spain</subject><subject>Success</subject><subject>Surgery</subject><subject>Symptoms</subject><subject>Waiting Lists</subject><issn>0168-8510</issn><issn>1872-6054</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><sourceid>7TQ</sourceid><recordid>eNqNkktvEzEQgFcIREPhL8BekLgkzPixXl-QqvKUKnEAThws1zvbODjrYO8Gpb--DglF4kJOHlnfPDTzVdULhAUCNq9XiyXZMC43MSwYIF-AWgA0D6oZtorNG5DiYTUrZDtvJcJZ9STnFQAozpvH1RnjmjOBYlZ9f0tbCnHjh5va1tPgt5SyDfUYY6j7mOpxSfUm-Zj86G_t6ONQx77elIiGMde_bPkvuXuUArmxFKjzlG4o7Z5Wj3obMj07vufVt_fvvl5-nF99_vDp8uJq7hqGYxlQuc41SgsJvZWETPfEsLNCMOtUhxyc7lA5R1yqRmrBJBKBajm17rrj59WrQ91Nij8nyqNZ--woBDtQnLJBKUFrobg8ARWoWyZaOAUFxpTU6gSU8RYa0YgTUGyUZFLw_6NCtuXaiLqg6oC6FHNO1JtysrVNO4Ng9sKYlbkXxuyFMaBMEaZkPj82ma7X1N3n_TGkAC-PgM3Ohj7Zwfn8l2sBgf_ewcWBo3LpradksiuKOOp8KlqYLvoThnnzTw0X_OBL2x-0o7yKUxqKSAZNZgbMl73fe72LIYC67OwOPM_2Ag</recordid><startdate>20131101</startdate><enddate>20131101</enddate><creator>Solans-Domènech, Maite</creator><creator>Adam, Paula</creator><creator>Tebé, Cristian</creator><creator>Espallargues, Mireia</creator><general>Elsevier Ireland Ltd</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>7T2</scope><scope>7U2</scope><scope>C1K</scope><scope>8BJ</scope><scope>FQK</scope><scope>JBE</scope><scope>7QJ</scope><scope>7TQ</scope><scope>DHY</scope><scope>DON</scope></search><sort><creationdate>20131101</creationdate><title>Developing a universal tool for the prioritization of patients waiting for elective surgery</title><author>Solans-Domènech, Maite ; Adam, Paula ; Tebé, Cristian ; Espallargues, Mireia</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c621t-857cdc679450fa5e129fe21da442ac7d130c9d17cce3576594251ee0783e8cbd3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Activities of daily living</topic><topic>Benefits</topic><topic>Biological and medical sciences</topic><topic>Canada</topic><topic>Caregivers</topic><topic>Diseases</topic><topic>Elective surgery</topic><topic>Elective Surgical Procedures</topic><topic>Employment</topic><topic>Female</topic><topic>Health administration</topic><topic>Health policy</topic><topic>Health Priorities</topic><topic>Health Services Needs and Demand</topic><topic>Humans</topic><topic>Internal Medicine</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Miscellaneous</topic><topic>Multidisciplinary participation</topic><topic>New Zealand</topic><topic>Patient Selection</topic><topic>Patients</topic><topic>Priorities</topic><topic>Priority-setting</topic><topic>Public health</topic><topic>Public health. Hygiene</topic><topic>Public health. Hygiene-occupational medicine</topic><topic>Qualitative techniques</topic><topic>Risk Factors</topic><topic>Severity</topic><topic>Severity of Illness Index</topic><topic>Spain</topic><topic>Success</topic><topic>Surgery</topic><topic>Symptoms</topic><topic>Waiting Lists</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Solans-Domènech, Maite</creatorcontrib><creatorcontrib>Adam, Paula</creatorcontrib><creatorcontrib>Tebé, Cristian</creatorcontrib><creatorcontrib>Espallargues, Mireia</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>Safety Science and Risk</collection><collection>Environmental Sciences and Pollution Management</collection><collection>International Bibliography of the Social Sciences (IBSS)</collection><collection>International Bibliography of the Social Sciences</collection><collection>International Bibliography of the Social Sciences</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>PAIS Index</collection><collection>PAIS International</collection><collection>PAIS International (Ovid)</collection><jtitle>Health policy (Amsterdam)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Solans-Domènech, Maite</au><au>Adam, Paula</au><au>Tebé, Cristian</au><au>Espallargues, Mireia</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Developing a universal tool for the prioritization of patients waiting for elective surgery</atitle><jtitle>Health policy (Amsterdam)</jtitle><addtitle>Health Policy</addtitle><date>2013-11-01</date><risdate>2013</risdate><volume>113</volume><issue>1</issue><spage>118</spage><epage>126</epage><pages>118-126</pages><issn>0168-8510</issn><eissn>1872-6054</eissn><abstract>Abstract The objective was to elaborate a priority scoring system for patients on waiting lists for elective surgery to be implemented in the Catalan public health system. This tool should ideally be universal (for all patients and across the entire region) with common criteria and weights (for all surgical procedures), simple and user-friendly. A tool based on a point-count linear scale ranging from 0 (lowest priority) to 100 (highest priority) was developed. Patients are scored in three major dimensions: clinical and functional impairment, expected benefit, and social role, which include 8 criteria (with their weights): disease severity (23%), pain (or other main symptoms) (14%), rate of disease progression (15%), difficulty in doing activities of daily life (14%), probability and degree of improvement (12%), being dependent with no caregiver (5%), limitation to care for one's dependents (if that be the case) (8%), and limitations in the ability to work, study or seek for employment (9%). As in previous studies developed in Canada, New Zealand and Catalonia, the tool obtained is mainly based on severity and need. The success of this tool depends very much on implementation mechanisms. Furthermore, prior to implementation, a definition of specificities in the selected criteria for the most frequent surgical procedures is advised.</abstract><cop>Amsterdam</cop><pub>Elsevier Ireland Ltd</pub><pmid>23932414</pmid><doi>10.1016/j.healthpol.2013.07.006</doi><tpages>9</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0168-8510 |
| ispartof | Health policy (Amsterdam), 2013-11, Vol.113 (1), p.118-126 |
| issn | 0168-8510 1872-6054 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_1550994735 |
| source | MEDLINE; PAIS Index; Elsevier ScienceDirect Journals; Applied Social Sciences Index & Abstracts (ASSIA) |
| subjects | Activities of daily living Benefits Biological and medical sciences Canada Caregivers Diseases Elective surgery Elective Surgical Procedures Employment Female Health administration Health policy Health Priorities Health Services Needs and Demand Humans Internal Medicine Male Medical sciences Miscellaneous Multidisciplinary participation New Zealand Patient Selection Patients Priorities Priority-setting Public health Public health. Hygiene Public health. Hygiene-occupational medicine Qualitative techniques Risk Factors Severity Severity of Illness Index Spain Success Surgery Symptoms Waiting Lists |
| title | Developing a universal tool for the prioritization of patients waiting for elective surgery |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-24T18%3A47%3A01IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Developing%20a%20universal%20tool%20for%20the%20prioritization%20of%20patients%20waiting%20for%20elective%20surgery&rft.jtitle=Health%20policy%20(Amsterdam)&rft.au=Solans-Dom%C3%A8nech,%20Maite&rft.date=2013-11-01&rft.volume=113&rft.issue=1&rft.spage=118&rft.epage=126&rft.pages=118-126&rft.issn=0168-8510&rft.eissn=1872-6054&rft_id=info:doi/10.1016/j.healthpol.2013.07.006&rft_dat=%3Cproquest_cross%3E1523806464%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1458187119&rft_id=info:pmid/23932414&rft_els_id=1_s2_0_S0168851013001954&rfr_iscdi=true |