Assistant Professor, Centre for Health Policy and Management, Trinity College Dublin.
Research Assistant, Centre for Health Policy and Management, Trinity College Dublin.
Health Policy. 2021 Aug;125(8):1002-1012. doi: 10.1016/j.healthpol.2021.05.013. Epub 2021 Jun 23.
We present findings from a review of published literature and administrative documentation on waiting time and waiting list reporting models for elective treatment in a sample of international jurisdictions (a subset of OECD countries, with regional reporting regimes treated as distinct jurisdictions). In this paper we identified common patterns in the measurement and reporting of waiting time and waiting list information for elective treatment. We mapped the waiting time, waiting list, and key performance indicator statistics reported by 15 English-speaking international jurisdictions. Three distinct patterns of maximum waiting time target measures for elective treatment were identified amongst our international sample following our patient pathway event time-point analysis: (i) full-pathway maximum wait time targets; (ii) separate wait time targets for "time-to-diagnosis" and "time-to-treatment"; and (iii) "Time-to-Treatment" waiting time target only. Our review also revealed common patterns in the reporting of waiting time and waiting list statistics as well as KPI measures amongst a sub-sample of English-speaking jurisdictions. These common patterns provide a starting point towards more standardised measurement and reporting of waiting time and waiting list statistics in benchmarking access to elective care internationally.
我们呈现了对国际司法管辖区(经合组织国家的一个子集,区域报告制度视为独立的司法管辖区)样本中选择治疗的等待时间和等待名单报告模型的已发表文献和管理文件的审查结果。在本文中,我们确定了选择治疗的等待时间和等待名单信息的测量和报告中的常见模式。我们对 15 个英语国家的司法管辖区报告的等待时间、等待名单和关键绩效指标统计数据进行了映射。根据我们的患者路径事件时间点分析,在我们的国际样本中确定了三种不同的选择治疗的最大等待时间目标措施模式:(i)全路径最大等待时间目标;(ii)“诊断时间”和“治疗时间”的单独等待时间目标;以及(iii)仅“治疗时间”等待时间目标。我们的审查还揭示了英语国家司法管辖区中报告等待时间和等待名单统计数据以及 KPI 措施的常见模式。这些常见模式为在国际上基准评估选择护理的机会时更标准化地测量和报告等待时间和等待名单统计数据提供了一个起点。