Piene H, Hauge H K, Nyen P A
Statens helsetilsyn, Oslo.
Tidsskr Nor Laegeforen. 1997 Jan 30;117(3):370-4.
In 1990 a "waiting list guarantee" was introduced in the Norwegian health care system to secure treatment within six months for patients belonging to priority group II. (Priority group II are patients in need of treatment to avoid health hazards or serious long-term effects.) This guarantee has been difficult to honour and has caused considerable political unrest in the recent years. In an attempt to reform the guarantee, an analysis of our hospitals' capacity problems has been carried out, based on the general theory of queues. One result was that in order to fulfill the guarantee it is necessary to drastically reduce the queues and increase the capacity to deliver health services. This article presents the reasoning behind the analysis, in order to demonstrate the necessary foundation for a health policy that aims to reduce the time Norwegian patients have to wait for treatment in hospital.
1990年，挪威医疗保健系统引入了“等候名单保障”措施，以确保第二类优先组患者能在六个月内得到治疗。（第二类优先组是指需要接受治疗以避免健康危害或严重长期影响的患者。）这项保障措施一直难以兑现，近年来引发了相当大的政治动荡。为了改革这项保障措施，基于排队论对我们医院的容量问题进行了分析。结果之一是，为了实现这一保障，有必要大幅减少排队现象并提高提供医疗服务的能力。本文阐述了该分析背后的推理过程，以展示旨在减少挪威患者在医院等待治疗时间的卫生政策的必要基础。
