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Related Experiment Videos

Is there a relation between waiting-list length and surgery rate?

M Nordberg1, I Keskimäki, E Hemminki

  • 1National Research and Development Centre for Welfare and Health, Helsinki, Finland.

The International Journal of Health Planning and Management
|July 1, 1994
PubMed
Summary

Differences in surgical waiting lists are often driven by patient demand, not just resource limitations. High demand can lead to both longer waiting lists and more procedures, emphasizing the need to review surgical indications.

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Area of Science:

  • Health Services Research
  • Surgical Outcomes
  • Healthcare Management

Background:

  • Waiting lists for surgical procedures vary significantly between hospitals.
  • Understanding the drivers of these waiting list lengths is crucial for effective healthcare management.

Purpose of the Study:

  • To investigate if varying demand for surgery influences differences in hospital waiting list lengths.
  • To explore the relationship between surgical procedure rates and waiting list durations.

Main Methods:

  • Comparative analysis of waiting list data and procedure rates for seven surgical procedures in Finland (1987).
  • Utilized data from the Finnish Hospital Discharge Register and a national hospital inquiry.
  • Calculated correlation coefficients between population-based waiting list lengths and procedure rates.

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Main Results:

  • Significant positive correlations found between waiting list lengths and procedure rates for hallux valgus operations, herniorrhaphy, and hysterectomy.
  • Positive, though not statistically significant, correlations observed for cholecystectomy and haemorrhoidectomy.
  • No correlation for varicose vein operations and a negative correlation for cataract extraction.

Conclusions:

  • Waiting list length is not solely determined by insufficient resources; high patient demand, influenced by physician decisions, plays a significant role.
  • Both long waiting lists and high surgical rates can stem from elevated demand.
  • Critically examining surgical indications is essential, rather than solely focusing on increasing resources, when demand drives long waiting lists.