The Anatomy of Large Inpatient Waiting Lists

Davidge, Mike; Vickerstaff, Lorna; Harley, Mike; Yates, J. K.

doi:10.1016/s0140-6736(87)92812-1

Cited by 18 publications

(7 citation statements)

References 1 publication

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“…Total hip replacement was more common in women overall (6 4 (5-7,7 1)%) than in men (3 7 (3-1,4 4)%) and in each age group (see table 1). Twenty (16)(17)(18)(19)(20)(21)(22)(23)(24)% of people with a total hip replacement had undergone at least one operation privately and 13 (9)(10)(11)(12)(13)(14)(15)(16)% had required at least one revision procedure (see table 2). The highest revision rate, 17 (7-28)%, was found in men aged 65-74 years.…”

Section: Resultsmentioning

confidence: 99%

Prevalence of total hip replacement: how much demand has been met?

Williams

Newton

Frankel

et al. 1994

Journal of Epidemiology & Community Health

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Objective -To determine the prevalence of completed elective total hip replacements in a defined elderly population. Design -Cross sectional postal questionnaire survey with additional data and validation from general practice and hospital records. Setting -Six general practices in the English counties of Avon, Somerset, and Oxfordshire. Subjects -A total of 7806 patients aged 65 years and over (94-7% response). Results -The overall prevalence (95% confidence intervals) of elective total hip replacement was 5 3 (4*8,5-8)%. Age and sex specific prevalences were 2X7 (2-0,3-5)% in men and 4-1 (3 3,4 9)% in women aged 65-74 years, and 5 2 (4-0,6-5)% in men and 8-8 (7-6,10-0)% in women aged 75 years and over. Of the 415 patients who had received elective total hip replacement, 28-2% had required bilateral surgery, 20% had received at least one operation privately, and 13% had required revision surgery. Conclusion -Our results show an increased level of satisfied demand for total hip replacement in elderly people compared with earlier estimates. The increasing prevalence of hip replacement is an indicator of increasing potential demand for revision procedures. Population based surveys are required to establish the level of unmet demand for primary procedures. Differences in past surgical activity may be important in interpreting the wide variation in current surgical rates.

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Section: Resultsmentioning

confidence: 99%

Prevalence of total hip replacement: how much demand has been met?

Williams

Newton

Frankel

et al. 1994

Journal of Epidemiology & Community Health

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“…It has an age structure which is radically different from most other specialties. Our study of the content of waiting lists in 1987 2 suggested that ENT had only 2% of patients aged over 65 on the waiting lists whilst the figures for General Surgery were 18%, for Orthopaedics 20% and for Ophthalmology 58%. Given the age profile of inpatients, it is unlikely that this specialty faces severe problems as a result of an ageing population.…”

Section: Examining the Causes Of Long Waiting Timesmentioning

confidence: 78%

“…This latter group was of particular importance in ENT, where the waiting list was dominated by patients awaiting tonsillectomy and adenoidectomy. Studies of the longest waiting lists in England in 1989–1990 1 showed that T & A was the most common surgical procedure encountered on waiting lists and in ENT it represented 44% of patients listed in one study (3531 out of 8004) 2 . The impressive reduction in waiting lists for ENT was, in part, caused by a validation which removed many patients who had originally been placed on the inpatient list as part of a ‘wait and see’ policy which left the onus on the patient, relative or general practitioner (GP) to press for urgent admission.…”

Section: Waiting At the End Of The Last Millenniummentioning

confidence: 99%

Waiting for ENT opinion and treatment: will things ever improve?

Yates

2001

Clin Otolaryngol

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“…We can see how patient experiences that drove the College of Health’s data collection slipped from view in a health services research literature that saw its task as responding to the challenges of measurement and management rather than equity and patient voice. Even as the focus on waiting lists reappeared in later years with a new demand to know more socio-economic details about patients who waited ( Davidge et al , 1987 ), health economists paid little attention to the experiences of patients themselves or to the concerns of fairness underpinning the College’s work. Rather, they developed methods for data collection and analysis to inform different financial and econometric models about the cost-effectiveness of lists, their length, their impact on the economy and the economic effect of NHS users.…”

Section: Snapshot Three: Consumerist and Managerial Turnsmentioning

confidence: 99%

The shadows of waiting and care: on discourses of waiting in the history of the British National Health Service.

Bar-Haim¹,

Baraitser²,

Moore³

2023

Wellcome Open Res

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Waiting is at the centre of experiences and practices of healthcare. However, we know very little about the relationship between the subjective experiences of patients who wait in and for care, health practitioners who ‘prescribe’ and manage waiting, and how this relates to broader cultural meanings of waiting. Waiting features heavily in the sociological, managerial, historical and health economics literatures that investigate UK healthcare, but the focus has been on service provision and quality, with waiting (including waiting lists and waiting times) drawn on as a key marker to test the efficiency and affordability of the NHS. In this article, we consider the historical contours of this framing of waiting, and ask what has been lost or occluded through its development. To do so, we review the available discourses in the existing literature on the NHS through a series of ‘snapshots’ or key moments in its history. Through its negative imprint, we argue that what shadows these discourses is the idea of waiting and care as phenomenological temporal experiences, and time as a practice of care. In response, we begin to trace the intellectual and historical resources available for alternative histories of waiting – materials that might enable scholars to reconstruct some of the complex temporalities of care marginalized in existing accounts of waiting, and which could help reframe both future historical accounts and contemporary debates about waiting in the NHS.

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The Anatomy of Large Inpatient Waiting Lists

Cited by 18 publications

References 1 publication

Prevalence of total hip replacement: how much demand has been met?

Prevalence of total hip replacement: how much demand has been met?

Waiting for ENT opinion and treatment: will things ever improve?

The shadows of waiting and care: on discourses of waiting in the history of the British National Health Service.

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