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How's your waiting list?

Virginia Gulino1, Beatrice Ricci2, Stanislav Russo3

  • 1Gestione Operativa Research Fellow, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy.

Annali Di Igiene : Medicina Preventiva E Di Comunita
|April 29, 2025
PubMed
Summary
This summary is machine-generated.

This study introduces a Key Performance Indicator (KPI) model to assess surgical waiting list sustainability. Standardized KPIs can improve resource management and healthcare access by identifying critical issues in waiting list efficiency.

Keywords:
Waiting list; healthcare management; hospital efficiency; access to care; Key Performance Indicators

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Area of Science:

  • Healthcare Management
  • Health Services Research
  • Public Health Policy

Background:

  • Surgical waiting lists present significant challenges to public healthcare systems, impacting patient access and perceived service quality.
  • Current methods for assessing surgical waiting list efficiency and management lack standardization.

Purpose of the Study:

  • To propose and evaluate a Key Performance Indicator (KPI) model for measuring the sustainability of surgical waiting lists.
  • To assess the balance, attractiveness, efficiency, and timeliness of surgical waiting lists.

Main Methods:

  • Defined three primary KPIs to evaluate surgical waiting list sustainability.
  • Applied KPIs to hypothetical and real datasets from January to September 2024 at IRCCS Istituto Ortopedico Rizzoli.
  • Utilized statistical analysis in Excel, calculating ratios of enrolled, admitted, canceled, and overdue patients.

Main Results:

  • Analysis revealed variability in waiting list management across hospital departments.
  • Some departments demonstrated balanced management, while others faced critical issues like high overdue or canceled patient rates.
  • Graphical representation of KPIs highlighted areas for improved resource management.

Conclusions:

  • Standardized KPIs offer a valuable tool for monitoring and optimizing surgical waiting lists.
  • Implementing KPIs can support strategic decisions to enhance healthcare service accessibility.
  • The model aids in identifying and addressing inefficiencies in surgical waiting list management.