International comparison of waiting times for selected cardiovascular procedures

Carroll, Richard J.; Horn, Susan D.; Söderfeldt, Björn; James, Brent C.; Malmberg, Lars‐Erik

doi:10.1016/0735-1097(94)00442-s

Cited by 67 publications

(10 citation statements)

References 14 publications

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“…In the USA, the average waiting time for elective CA and CABG was much shorter for both elective and urgent treatments compared with the UK (22) (Table 2). Medicaid insurance holders wait longer for ICPs.…”

Section: Resultsmentioning

confidence: 99%

“…While it seems that low SES patients in the US fare better than those in the UK, this conclusion reflects more on the intrinsic structure of each healthcare system rather than higher levels of inequality in the UK. The UK’s socialised medical system often involves long waiting lists and a primary care ‘gatekeeping’ system to manage the excessive national demand for the limited resources, whereas the US system emphasises short waiting times and patient choice at the expense of high cost (22,37,38).…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Inequalities in socio-economic status and invasive procedures for coronary heart disease: a comparison between the USA and the UK

Quatromoni

Jones

2008

International Journal of Clinical Practice

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Both countries exhibited differences in waiting times for coronary angiography (CA) and percutaneous transluminal coronary angioplasty/coronary artery bypass graft (PTCA)/(CABG). Low SES patients waited longer than high SES patients within each country. The disparity in CHD care between low and high SES patients within each country appeared to be similar. Low SES patients in both countries experienced reduced rates of CA and CABG/PTCA. IMPLICATIONS/CONCLUSION: Despite differences between the US third-party payer system and the UK socialised, primary care-oriented system, each country faces the same SES inequalities regarding waiting time for and access to the ICPs. Understanding the reasons behind these inequalities is vital to address them.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Inequalities in socio-economic status and invasive procedures for coronary heart disease: a comparison between the USA and the UK

Quatromoni

Jones

2008

International Journal of Clinical Practice

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“…Because the ultimate objective of this study is to match patients with care, we focused on elective patients only, as opposed to emergent or urgent patients whose choice of providers may have been constrained by the urgency of their medical condition (Batt and Terwiesch, 2015). An elective mitral valve patient can wait for a year or more from diagnosis to treatment (Carroll et al, 1995), which provides considerable flexibility in the choice of providers.…”

Section: Data Preparationmentioning

confidence: 99%

Using Patient-Specific Quality Information to Unlock Hidden Healthcare Capabilities

Wang

Jun

Hopp

et al. 2019

M&SOM

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We document a wide variation in quality among 188 surgeons at 35 hospitals in New York state that perform mitral valve surgery. Our analysis shows that patients of different demographics and levels of acuity benefit differently from elite surgeons. However, existing healthcare provider quality information is based on population averages and so does not differentiate patients of different medical conditions. This implies that patient-centric quality information, which calibrates outcome statistics by patient demographics and acuity, can increase the ability of patients to choose the most appropriate surgeon. In this paper, we develop an approach for computing patient-centric information from outcome data and evaluate the potential health benefits from using such information to guide patients to surgeons. We estimate that the total societal benefits from using patient-centric information are comparable to those achievable by enabling the best surgeons to treat 40% more patients under population-average information.

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“…Lengthy wait time for access to healthcare services is a persistent issue in many jurisdictions [1,2], and to make matters worse, wait times for different providers in the same area can vary significantly [3,4]. While solutions to these problems usually involve capacity increases or efficiency improvement, with the adoption of information technologies in the healthcare system, an alternative or supplementary approach has been proposed and implemented in some jurisdictions: publishing wait time information of different providers so that patients can make informed choices on which provider to use [5-8].…”

Section: Introductionmentioning

confidence: 99%

The effects of publishing emergency department wait time on patient utilization patterns in a community with two emergency department sites: a retrospective, quasi-experiment design

Xie

Youash

2011

Int J Emerg Med

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BackgroundProviding emergency department (ED) wait time information to the public has been suggested as a mechanism to reduce lengthy ED wait times (by enabling patients to select the ED site with shorter wait time), but the effects of such a program have not been evaluated. We evaluated the effects of such a program in a community with two ED sites.MethodsDescriptive statistics for wait times of the two sites before and after the publication of wait time information were used to evaluate the effects of the publication of wait time information on wait times. Multivariate logistical regression was used to test whether or not individual patients used published wait time to decide which site to visit.ResultsWe found that the rates of wait times exceeding 4 h, and the 95th percentile of wait times in the two sites decreased after the publication of wait time information, even though the average wait times experienced a slight increase. We also found that after controlling for other factors, the site with shorter wait time had a higher likelihood of being selected after the publication of wait time information, but there was no such relationship before the publication.ConclusionsThese findings were consistent with the hypothesis that the publication of wait time information leads to patients selecting the site with shorter wait time. While publishing ED wait time information did not improve average wait time, it reduced the rates of lengthy wait times.

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International comparison of waiting times for selected cardiovascular procedures

Abstract: Physicians report that patients treated in health care systems structured differently from the non-VA hospital system in the United States wait significantly longer for cardiac catheterization and coronary artery bypass surgery.

Cited by 67 publications

References 14 publications

Inequalities in socio-economic status and invasive procedures for coronary heart disease: a comparison between the USA and the UK

Inequalities in socio-economic status and invasive procedures for coronary heart disease: a comparison between the USA and the UK

Using Patient-Specific Quality Information to Unlock Hidden Healthcare Capabilities

The effects of publishing emergency department wait time on patient utilization patterns in a community with two emergency department sites: a retrospective, quasi-experiment design

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