Who gets priority? Waiting list assessment using a scoring system.
Ann R Coll Surg Engl
; 82(6 Suppl): 186-8, 2000 Jun.
Article
en En
| MEDLINE
| ID: mdl-10911758
ABSTRACT
This study examines the relationship between clinical priority and duration on the waiting list. Patients' priority is also compared from three different perspectives the consultant at out-patients (clinical urgency), the general practitioner who later sends a letter requesting expedition of admission (clinical urgency) and the 18-month waiters. Clinical priority in 222 patients awaiting primary hip or knee arthroplasty was assessed using a modification of the New Zealand priority criteria scoring system, administered by postal questionnaire. There was no correlation between time on waiting list and clinical score (r = 0.0). The hip and knee patient scores were not significantly different. The mean scores in the consultant and GP groups were higher (greater pain and disability) than in the 18-month waiters. The Kappa inter-rater agreement method demonstrated that both groups of clinician's assessment of clinical urgency had a 'fair' strength of agreement with scoring system, but the agreement of the 18-month waiter group was 'very poor'. Time on a waiting list should not be a decisive factor in establishing priority for primary hip or knee arthroplasty. Scoring systems can aid in assigning clinical priority for operation and indeed for the initial out-patient referral.
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Asignación de Recursos para la Atención de Salud
/
Indicadores de Salud
/
Listas de Espera
/
Artroplastia de Reemplazo de Cadera
/
Artroplastia de Reemplazo de Rodilla
Tipo de estudio:
Etiology_studies
/
Risk_factors_studies
Aspecto:
Determinantes_sociais_saude
/
Patient_preference
Límite:
Humans
País/Región como asunto:
Europa
Idioma:
En
Revista:
Ann R Coll Surg Engl
Año:
2000
Tipo del documento:
Article