改善获得外科专科会诊机会的道路：安大略省对“等待1等待时间数据”的经验。

The Road to Improving Access to Surgical Specialist Consultations: Ontario's Experience with Wait 1 Wait Time Data.

作者信息

Zanchetta Claudia, Irish Jonathan C, Waddell James P

机构信息

Has been with ATC on the forefront of healthcare IM/IT transformation for ten years. She is the clinical group manager for the Surgery Information Program at Access to Care, Cancer Care Ontario. Her unique combination of clinical experience and expertise in stakeholder engagement has enabled her to lead successful, complex provincial system projects. Claudia brings over 20 years of clinical and leadership experience as a staff nurse and nurse practitioner in a range of settings, including critical care, mental health, neurosurgery and trauma.

The provincial head of Surgical Oncology at Cancer Care Ontario and the Kevin and Sandra Sullivan Chair in Surgical Oncology at the University of Toronto. He is a professor of Otolaryngology-Head and Neck Surgery and an active head and neck surgical oncologist at the Princess Margaret Cancer Centre.

出版信息

Healthc Q. 2018 Oct;21(3):42-50. doi: 10.12927/hcq.2018.25701.

DOI:10.12927/hcq.2018.25701

PMID:30741155

Abstract

In 2009, the Ontario Ministry of Health and Long-Term Care engaged Cancer Care Ontario to expand the Wait Time Information System to capture surgical consultation data (Wait 1). Over the years, an increasing number of patient and provider reports have shown that Wait 1 wait times account for a significant portion of the total wait time for surgery. With data published online by the ministry in late summer 2017, patients were given access to consultation wait time information for over 200 types of procedures at 92 surgical facilities in Ontario. This article explains how a highly focused data strategy, strong stakeholder and clinical expert support and a comprehensive communications strategy were critical to driving change for a large-scale provincial initiative, which is helping to drive better access for patients and improve transparency and accountability.

摘要

2009年，安大略省卫生与长期护理部委托安大略癌症护理机构扩展等待时间信息系统，以收集外科会诊数据（等待时间1）。多年来，越来越多的患者和医疗服务提供者报告显示，等待时间1在手术总等待时间中占很大比例。随着该部门于2017年夏末在网上公布数据，患者可以获取安大略省92家外科医疗机构200多种手术的会诊等待时间信息。本文解释了高度聚焦的数据策略、强大的利益相关者和临床专家支持以及全面的沟通策略对于推动一项大规模省级倡议的变革至关重要，该倡议有助于为患者提供更好的就医机会，并提高透明度和问责制。