| Titre : | Prioritising patients on surgical waiting lists : A conjoint analysis study on the priority judgements of patients, surgeons, occupational physicians, and general practitioners. (2007) |
| Auteurs : | Jurriaan-P OUDHOFF ; BIJNEN (A.B.) : NLD. Department of Surgery. Medical Centre Alkmaar. Alkmaar. ; KNOL (D.L.) : NLD. Department of Clinical Epidemiology and Biostatistics. Vu University Medical Centre. Amsterdam. ; D.R.M. TIMMERMANS ; G. VAN DER WAL ; Vu Medical Centre. Institute for Research in Extramural Medicine. Department of Public and Occupational Health. Amsterdam. NLD |
| Type de document : | Article |
| Dans : | Social science and medicine (vol. 64, n° 9, 2007) |
| Pagination : | 1863-1875 |
| Langues: | Anglais |
| Mots-clés : | Thérapeutique chirurgicale ; Chirurgie ; Homme ; Malade ; Relation médecin malade ; Médecin spécialiste ; Exposition professionnelle ; Médecin généraliste ; Europe ; Thérapeutique ; Liste attente ; Pays Bas |
| Résumé : | [BDSP. Notice produite par INIST-CNRS ElR0xFzr. Diffusion soumise à autorisation]. The prioritisation of patients on waiting lists is ascribed high potential for diminishing the consequences of waiting times for elective surgery. However, consistent evidence is lacking about which factors determine patient priority and it is unclear whether different stakeholders have different opinions on this issue. This study, conducted in the Netherlands, investigates the judgements of patients, laypersons (i.e. patients on other waiting lists), and physicians on the priority of patients on waiting lists. Participants were former patients with varicose veins (N=82), inguinal hernia (N=86), and gallstones (N=89), 101 surgeons, 95 occupational physicians, and 65 general practitioners. Each participant judged the priority of paper vignettes of patients with varicose veins, inguinal hernia, and gallstones. The vignettes were designed according to conjoint analysis methodology and described the physical symptoms, the psychological distress, the social limitations, and impairments in work of patients. Multilevel regression analysis of the responses showed that all groups made significant distinctions in patient priority depending on the severity of each characteristic in the vignettes. The physical symptoms and impairments in work had on average the highest impact on priority, but the summed impact of non-physical factors exceeded that of the physical symptoms. The different groups of participants appraised only the importance of the physical symptoms differently, but opinions on priority varied widely within each group. Whereas the high level of agreement between the different groups would facilitate the acceptance and the implementation of explicit prioritisation of patients on the waiting list, the high inter-individual variation signifies that consensus criteria for prioritisation are needed to warrant equity and transparency in care provision. |
Service Documentation EHESP
Me connecter
PORTAIL DOCUMENTAIRE
École des hautes études en santé publique
Catalogue
Multi-bases
Accueil
Sélection de la langue
Adresse
Service Documentation EHESPBibliothèque Rennes Avenue du Professeur Léon Bernard – CS 74312 – 35043 Rennes Cedex Bibliothèque MSSH Paris 20 avenue George Sand - 93210 La Plaine Saint-Denis
France
Bibliothèque Rennes : 02 99 02 29 50 Bibliothèque MSSH Paris : 02 99 02 24 50
contact