Modelo de gestión de listas de espera centrado en oportunidad y justicia

Waiting lists for elective surgery are considered a major health policy concern in most countries of the world. The most common reason to explain this phenomenon is that demand exceeds supply. Traditionally, the management of waiting lists has been focused on timeliness of medical attention. The obj...

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Autores principales: Julio,Cristian, Wolff,Patricio, Vegoña Yarza,María
Lenguaje:Spanish / Castilian
Publicado: Sociedad Médica de Santiago 2016
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Acceso en línea:http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872016000600014
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spelling oai:scielo:S0034-988720160006000142016-10-03Modelo de gestión de listas de espera centrado en oportunidad y justiciaJulio,CristianWolff,PatricioVegoña Yarza,María Economics Medical Health Policy Hospitals Public Waiting Lists Waiting lists for elective surgery are considered a major health policy concern in most countries of the world. The most common reason to explain this phenomenon is that demand exceeds supply. Traditionally, the management of waiting lists has been focused on timeliness of medical attention. The objective of this paper is to present a waiting lists management model that includes the concepts of timeliness and justice simultaneously. We designed a prioritization method based solely on medical criteria. We developed a computer software to register patients, to prioritize and monitor the waiting lists. The system was implemented in 2013 and is currently used in all surgical specialties at a public hospital. The results show that timeliness does not suffice to manage the waiting lists for elective surgery, and therefore it should be complemented with an indicator of justice. Under this management model, hospitals should attempt to balance justice with timeliness of care and prioritize initiatives that improve both indicators at the same time. In addition, we propose using this model to manage the waiting lists of other hospital processes.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.144 n.6 20162016-06-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872016000600014es10.4067/S0034-98872016000600014
institution Scielo Chile
collection Scielo Chile
language Spanish / Castilian
topic Economics
Medical
Health Policy
Hospitals
Public
Waiting Lists
spellingShingle Economics
Medical
Health Policy
Hospitals
Public
Waiting Lists
Julio,Cristian
Wolff,Patricio
Vegoña Yarza,María
Modelo de gestión de listas de espera centrado en oportunidad y justicia
description Waiting lists for elective surgery are considered a major health policy concern in most countries of the world. The most common reason to explain this phenomenon is that demand exceeds supply. Traditionally, the management of waiting lists has been focused on timeliness of medical attention. The objective of this paper is to present a waiting lists management model that includes the concepts of timeliness and justice simultaneously. We designed a prioritization method based solely on medical criteria. We developed a computer software to register patients, to prioritize and monitor the waiting lists. The system was implemented in 2013 and is currently used in all surgical specialties at a public hospital. The results show that timeliness does not suffice to manage the waiting lists for elective surgery, and therefore it should be complemented with an indicator of justice. Under this management model, hospitals should attempt to balance justice with timeliness of care and prioritize initiatives that improve both indicators at the same time. In addition, we propose using this model to manage the waiting lists of other hospital processes.
author Julio,Cristian
Wolff,Patricio
Vegoña Yarza,María
author_facet Julio,Cristian
Wolff,Patricio
Vegoña Yarza,María
author_sort Julio,Cristian
title Modelo de gestión de listas de espera centrado en oportunidad y justicia
title_short Modelo de gestión de listas de espera centrado en oportunidad y justicia
title_full Modelo de gestión de listas de espera centrado en oportunidad y justicia
title_fullStr Modelo de gestión de listas de espera centrado en oportunidad y justicia
title_full_unstemmed Modelo de gestión de listas de espera centrado en oportunidad y justicia
title_sort modelo de gestión de listas de espera centrado en oportunidad y justicia
publisher Sociedad Médica de Santiago
publishDate 2016
url http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872016000600014
work_keys_str_mv AT juliocristian modelodegestiondelistasdeesperacentradoenoportunidadyjusticia
AT wolffpatricio modelodegestiondelistasdeesperacentradoenoportunidadyjusticia
AT vegonayarzamaria modelodegestiondelistasdeesperacentradoenoportunidadyjusticia
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