The New Zealand priority criteria project. Part 2: Coronary artery bypass graft surgery.
BMJ
; 314(7074): 135-8, 1997 Jan 11.
Article
en En
| MEDLINE
| ID: mdl-9006478
ABSTRACT
Priority criteria developed during a national project were used to conduct an audit of all 662 patients on waiting lists for coronary artery bypass surgery in New Zealand during spring 1996. Based on the observed distribution of priority scores, the cost of providing surgery to all patients down to various levels of priority was estimated. Descriptions incorporating life expectancy and quality of life implications of surgery were developed of the kinds of patients who would or would not receive surgery at each of several possible funding levels. Cardiologists and cardiac surgeons agreed that a threshold of 25 points was a reasonable clinical goal but to work with a threshold of 35, which can be sustained with current levels of funding. All agree that the gap between these clinically preferred and currently afforded thresholds is a subject for wider societal dialogue and decision. The ability to measure the size of the gap between clinical desirability and financial sustainability provides a new transparency to the problem of healthcare resource allocation.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Puente de Arteria Coronaria
/
Listas de Espera
/
Prioridades en Salud
Tipo de estudio:
Prognostic_studies
Aspecto:
Patient_preference
Límite:
Humans
País/Región como asunto:
Oceania
Idioma:
En
Revista:
BMJ
Asunto de la revista:
MEDICINA
Año:
1997
Tipo del documento:
Article
País de afiliación:
Nueva Zelanda