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Lecture notes

management of waiting times and waiting lists

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includes: problem, review of policy tools used to tackle waiting time

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  • December 21, 2023
  • 3
  • 2021/2022
  • Lecture notes
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Sunday, 16th January 2022
Week 1
Medicine
Management of waiting times and waiting lists
Problem
 Waiting times are a major source of dissatisfaction
o Prolonged suffering
o Delayed benefit
o Uncertainty
 Considerable effort from policy makers to reduce waiting times
Excess demand
 Capacity constraints
 Level of need
Measurement issues
 Waiting time vs waiting list
 Outpatient vs inpatient
 GP referral to treatment
 Waiting time of patients treated vs time of patients on the list
 By speciality
 By procedure
 Elective vs emergency procedures
 Mean vs median
o Concerns of the patients who are at the tails of waiting times
 Number of patients waiting for than 8/12 months
Review policy tools used to tackle waiting time
A brief summary
 Maximum wait time guarantee
 Implementation can be different
o Target
o Market reform with competitions
o Prioritisations
A key message
 Supply policies no guarantee of success
Policies that work
 Policies don’t always work to reduce waiting times
 What works is narrowly defined by reduction in waiting times
England
 Max waiting time guarantee
 Sanctions and penalties for those who did not meet the target
 When policies introduced in England the proportion of patients waiting more than 6
months decreased
 Probability of being treated as time passes reduces
o Prioritisation being misused
o Strategic behaviour
 Patient entitlements
o Patients should wait no longer than 18 weeks from referral to treatment
 95% should be treated within this time
 Elective treatment being put on hold has increased wait times

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