Developing a prioritisation framework for patients in need of coronary artery angiography

Abstract Background Effective waiting list management and comprehensive prioritisation can provide timely delivery of appropriate services to ensure that the patient needs are met and increase equity in the provision of health services. We developed a prioritisation framework for patients in need of...

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Autores principales:	Leila Doshmangir, Faramarz Pourasghar, Rahim Sharghi, Ramin Rezapour, Vladimir Sergeevich Gordeev
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Coronary artery angiography Waiting list management Patient prioritisation Health policy and services research Quality of care Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/906ce82ae5594b01b9375cea271d144b
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spelling	oai:doaj.org-article:906ce82ae5594b01b9375cea271d144b2021-11-08T10:43:25ZDeveloping a prioritisation framework for patients in need of coronary artery angiography10.1186/s12889-021-12088-71471-2458https://doaj.org/article/906ce82ae5594b01b9375cea271d144b2021-11-01T00:00:00Zhttps://doi.org/10.1186/s12889-021-12088-7https://doaj.org/toc/1471-2458Abstract Background Effective waiting list management and comprehensive prioritisation can provide timely delivery of appropriate services to ensure that the patient needs are met and increase equity in the provision of health services. We developed a prioritisation framework for patients in need of coronary artery angiography (CAA). Methods We used a multi-methods approach to elicit effective factors that affect CAA patient prioritisation. Qualitative data wase collected using semi-structured interviews with 15 experts. The final set of factors was selected using experts’ consensus through modifed Delphi technique. The framework was finalised during expert panel meetings. Results 212 effective factors were identified based on the literature review, interviews, and expert panel discussion of them, 37 factors were selected for modifed Delphi study. Following two rounds of Delphi discussions, seven final factors were selected and weighed by ten experts using pair-wise comparisons. The following weights were given: the severity of pain and symptoms (0.22), stress testing (0.18), background diseases (0.15), number of myocardial infarctions (0.15), waiting time (0.10), reduction of economic and social performance (0.12), and special conditions (0.08). Conclusion Clinical effective factors were important for CAA prioritisation framework. Using this framework can potentially lead to improved accountability and justice in the health system.Leila DoshmangirFaramarz PourasgharRahim SharghiRamin RezapourVladimir Sergeevich GordeevBMCarticleCoronary artery angiographyWaiting list managementPatient prioritisationHealth policy and services researchQuality of carePublic aspects of medicineRA1-1270ENBMC Public Health, Vol 21, Iss 1, Pp 1-8 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Coronary artery angiography Waiting list management Patient prioritisation Health policy and services research Quality of care Public aspects of medicine RA1-1270
spellingShingle	Coronary artery angiography Waiting list management Patient prioritisation Health policy and services research Quality of care Public aspects of medicine RA1-1270 Leila Doshmangir Faramarz Pourasghar Rahim Sharghi Ramin Rezapour Vladimir Sergeevich Gordeev Developing a prioritisation framework for patients in need of coronary artery angiography
description	Abstract Background Effective waiting list management and comprehensive prioritisation can provide timely delivery of appropriate services to ensure that the patient needs are met and increase equity in the provision of health services. We developed a prioritisation framework for patients in need of coronary artery angiography (CAA). Methods We used a multi-methods approach to elicit effective factors that affect CAA patient prioritisation. Qualitative data wase collected using semi-structured interviews with 15 experts. The final set of factors was selected using experts’ consensus through modifed Delphi technique. The framework was finalised during expert panel meetings. Results 212 effective factors were identified based on the literature review, interviews, and expert panel discussion of them, 37 factors were selected for modifed Delphi study. Following two rounds of Delphi discussions, seven final factors were selected and weighed by ten experts using pair-wise comparisons. The following weights were given: the severity of pain and symptoms (0.22), stress testing (0.18), background diseases (0.15), number of myocardial infarctions (0.15), waiting time (0.10), reduction of economic and social performance (0.12), and special conditions (0.08). Conclusion Clinical effective factors were important for CAA prioritisation framework. Using this framework can potentially lead to improved accountability and justice in the health system.
format	article
author	Leila Doshmangir Faramarz Pourasghar Rahim Sharghi Ramin Rezapour Vladimir Sergeevich Gordeev
author_facet	Leila Doshmangir Faramarz Pourasghar Rahim Sharghi Ramin Rezapour Vladimir Sergeevich Gordeev
author_sort	Leila Doshmangir
title	Developing a prioritisation framework for patients in need of coronary artery angiography
title_short	Developing a prioritisation framework for patients in need of coronary artery angiography
title_full	Developing a prioritisation framework for patients in need of coronary artery angiography
title_fullStr	Developing a prioritisation framework for patients in need of coronary artery angiography
title_full_unstemmed	Developing a prioritisation framework for patients in need of coronary artery angiography
title_sort	developing a prioritisation framework for patients in need of coronary artery angiography
publisher	BMC
publishDate	2021
url	https://doaj.org/article/906ce82ae5594b01b9375cea271d144b
work_keys_str_mv	AT leiladoshmangir developingaprioritisationframeworkforpatientsinneedofcoronaryarteryangiography AT faramarzpourasghar developingaprioritisationframeworkforpatientsinneedofcoronaryarteryangiography AT rahimsharghi developingaprioritisationframeworkforpatientsinneedofcoronaryarteryangiography AT raminrezapour developingaprioritisationframeworkforpatientsinneedofcoronaryarteryangiography AT vladimirsergeevichgordeev developingaprioritisationframeworkforpatientsinneedofcoronaryarteryangiography
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Developing a prioritisation framework for patients in need of coronary artery angiography

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