Don B, Lee A, Goldacre M J
Oxford Regional Health Authority, Headington.
Br Med J (Clin Res Ed). 1987 Nov 14;295(6608):1247-8. doi: 10.1136/bmj.295.6608.1247.
The length of time that patients spend on waiting lists is a topic of current concern. Calculating the proportion of patients who have been on a waiting list for a long time by taking a census of patients on the list at a single point in time will tend to yield a higher estimate than that obtained by calculating waiting times of patients admitted to hospital during a period of time. To illustrate this point the waiting times of patients in the Oxford region as measured by SBH 203 returns ("census" data) were compared with those as measured by the Hospital Activity Analysis ("event" data). As expected, the SBH 203 census returns showed a higher proportion of patients who had waited over a year compared with the "event" measure of all admissions. This difference, which is analagous to the difference between prevalence and incidence in epidemiology, should be considered when using data from these sources to calculate waiting times.
患者在等候名单上花费的时间长度是当前备受关注的话题。通过在某个时间点对名单上的患者进行普查来计算长时间处于等候名单上的患者比例,往往会比通过计算一段时间内入院患者的等候时间得出的估计值更高。为说明这一点,将牛津地区患者通过SBH 203报表(“普查”数据)测得的等候时间与通过医院活动分析(“事件”数据)测得的等候时间进行了比较。不出所料,与所有入院患者的“事件”测量结果相比,SBH 203普查报表显示等待超过一年的患者比例更高。在使用这些来源的数据计算等候时间时,应考虑这种类似于流行病学中患病率和发病率之间差异的差别。