Maximum waiting-time guarantee — an attempt to reduce waiting lists in Sweden

Hanning, Marianne

doi:10.1016/0168-8510(95)00791-1

Cited by 82 publications

(83 citation statements)

References 8 publications

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“…If demand outweighs supply, queues form and hence patients wait. 19 The results suggested that the use of the battery-powered drills led to a significant reduction in the average waiting time and there was also a strong positive correlation (Table 4). This is true as more cases could be done daily with the availability of these drills.…”

Section: Discussionmentioning

confidence: 75%

Impact of battery-powered orthopedic drills on the practice of orthopedic surgery in a resource limited country

et al. 2018

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Background: The study aimed at assessing the impact of the availability of battery-powered drills on the management of orthopedic cases presenting to the orthopedic unit of the department of surgery at a major teaching hospital serving the southern part of Ghana.Methods: This study was a single center retrospective study. Authors examined the total number of cases, average time spent on cases in the operating room, and the average patient waiting time for surgery between January 2012 and December 2014. A paired sample t-test was used to evaluate the effectiveness of the orthopedic drills for the pre-and post-intervention periods.Results: There were statistical significant differences in the total number of cases (p<0.01), the average time spent on cases in the operating room (p<0.01), and the average waiting time for surgery (p<0.05) between January 2012 to June 2013 when manual hand drills were in use and July 2013 to December 2014 when the battery-powered drills were introduced.Conclusions: The introduction of the battery-powered drills led to a significant improvement in the total number of cases done. There was a reduction in time spent per case in the operating room as well as the average waiting time to having surgery.

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Section: Discussionmentioning

confidence: 75%

Impact of battery-powered orthopedic drills on the practice of orthopedic surgery in a resource limited country

et al. 2018

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“…The initial positive results have been attributed to improved administration, change in attitudes towards waiting lists and increased production. 5 Further, it has been shown that a majority of department and hospital managers view the maximum waiting time guarantee as a positive reform. They also regard the negative effects as considerably less in extent than the positive effects.…”

Section: Introductionmentioning

confidence: 99%

The Impact of Health Care Policy Initiatives on Productivity

Tambour

1997

Health Econ.

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This paper analyses productivity growth in health care delivery in Sweden and the impact of health care policy initiatives on productivity. In particular we consider the maximum waiting time guarantee introduced in Sweden 1992. The intention of the maximum waiting time guarantee was to shorten the waiting lists, partly through increased productivity. We measure productivity growth by estimating Malmquist productivity indices using non-parametric linear programming models. The productivity models are applied to data from a sample of public ophthalmology departments from 1988 to 1993. Positive productivity changes are found in several years, although no significant differences between the periods are found.

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“…Los incrementos permanentes, a pesar de conllevar un incremento también permanente de actividad, provocan a medio plazo un aumento del número de pacientes en espera y una reducción 4 o un estancamiento 5 en el tiempo de espera. Las medidas coyunturales como, por ejemplo, los planes de choque y los fondos finalistas destinados a garantizar tiempos máximos de espera, aunque provocan a corto plazo una reducción tanto en el número de pacientes en espera como en el tiempo de espera, su efecto desaparece en cuanto se dejan de inyectar recursos adicionales 6,7 . En algunos paí-ses, como Canadá 8 y Reino Unido 9 , estos efectos "perversos" han provocado un incremento, no sólo en el tamaño de las listas, sino también en los tiempos de espera meses después de la inyección de recursos adicionales.…”

Section: Introductionunclassified