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Related Experiment Videos

Prioritizing patients for elective surgery: a systematic review.

Andrew D MacCormick1, Wayne G Collecutt, Bryan R Parry

  • 1Division of Surgery, University of Auckland, Auckland, New Zealand. andrew.maccormick@auckland.ac.nz

ANZ Journal of Surgery
|July 31, 2003
PubMed
Summary

Priority scoring tools for elective surgery waiting lists are being developed internationally. However, ethical bases and consensus on generic criteria remain underdeveloped, posing challenges for patient prioritization.

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Area of Science:

  • Health Services Research
  • Medical Informatics
  • Public Health Policy

Background:

  • Elective surgical waiting lists are growing, making current priority scoring tools insufficient.
  • International efforts in New Zealand, Canada, and the UK are developing new tools.
  • An international perspective is crucial for understanding tool application and potential issues.

Purpose of the Study:

  • To review the development and application of priority scoring tools for elective surgery.
  • To identify ethical considerations and methodological approaches in existing tools.
  • To highlight gaps in the consensus and application of these tools.

Main Methods:

  • A systematic electronic literature review was conducted.
  • Reference lists of included papers were searched.
Keywords:
Health Care and Public Health

Related Experiment Videos

  • Key developers of prioritization criteria were contacted.

    • Main Results:

    • Ethical bases for prioritization varied significantly, with many tools not stating their ethical foundation.
    • Most tools focused on criteria for specific procedures.
    • Delphi consensus and regression were common for specific criteria, while author opinions dominated generic criteria.

    Conclusions:

    • There is a lack of consensus on the ethical basis for patient prioritization, a significant concern.
    • The development of generic criteria reveals a lack of consensus methods, indicating a knowledge gap.
    • The impact of assumptions in summation and weighting methods on patient prioritization requires further exploration.