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Waiting times. Catch up, keep up.

John Appleby1, Seán Boyle, Nancy Devlin

  • 1London School of Economics.

The Health Service Journal
|April 18, 2003
PubMed
Summary
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Healthcare trusts show varied success in meeting waiting list targets. Key factors include information use, management focus, capacity, and efficiency, with strategies needing adaptation as targets are met.

Area of Science:

  • Healthcare Management
  • Health Services Research
  • Operational Efficiency

Background:

  • Healthcare trusts exhibit significant performance disparities in achieving patient waiting list targets.
  • The year 2005 presented particular challenges for many trusts in meeting these benchmarks.
  • Understanding the drivers of success and failure is crucial for improving healthcare delivery.

Purpose of the Study:

  • To identify critical success factors for healthcare trusts in achieving waiting list targets.
  • To analyze the differences in strategies employed by trusts with varying performance levels.
  • To explore the evolution of effective strategies as waiting lists decrease.

Main Methods:

  • Comparative analysis of healthcare trusts with diverse performance records regarding waiting list targets.

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  • Qualitative assessment of key operational and managerial criteria.
  • Identification of distinct strategies for initial target achievement versus sustained performance.

    • Main Results:

    • Four primary criteria for success were identified: effective information utilization, strong managerial focus, adequate capacity, and long-term efficiency.
    • Strategies effective for 'catching up' to targets are not always suitable for 'keeping up' once targets are met.
    • Successful trusts demonstrate flexibility, proactive planning, and adaptability to unforeseen challenges.

    Conclusions:

    • Healthcare trust performance in meeting waiting list targets is highly variable.
    • Achieving and maintaining waiting list targets requires distinct strategic approaches.
    • Flexibility, foresight, and adaptability are hallmarks of high-performing healthcare trusts.