Advanced Search
MyIDEAS: Login

Insight into capacity planning for cardiac catheterization services: Policy lessons learned from "Looking in the Mirror" over a decade

Contents:

Author Info

  • Mercuri, Mat
  • Natarajan, Madhu K.
  • Holder, Douglas H.
  • Xie, Changchun
  • Gafni, Amiram
Registered author(s):

    Abstract

    Background Cardiac catheterization (CATH) is key in the diagnosis and management of coronary artery disease. Increasing demand coupled with limited resources in a publicly funded system (e.g. Ontario, the largest province in Canada) resulted in a waitlist for this procedure. Our province has recommended maximum wait times (RMWT) for patients referred to CATH. The purpose of this study is to describe our experience over the past decade in attempting to meet RMWTs for patients needing CATH at our centre, and to discuss issues concerning capacity planning in providing timely service.Methods We measured the proportion of patients undergoing a procedure within the RWMT, and calculated both the mean number of patients and mean length of time on the wait list for each year over a decade for those referred to CATH using prospectively collected registry data. We identified factors that increased referrals or improved capacity. Wait time was compared to community standard RMWTs in order to establish if and how RMWTs were achieved.Results Despite a number of systematic and capacity improvements, RMWTs were not achieved until after the addition of a 4th laboratory.Interpretation Improving access to CATH in our centre was reactive to the increasing need of the community rather than based on anticipation of need and continuity of service within RMWTs. Registry data can help monitor key indicators (e.g. RMWT). Prudent use of this information should help policy makers with future expansion in our region.

    Download Info

    If you experience problems downloading a file, check if you have the proper application to view it first. In case of further problems read the IDEAS help page. Note that these files are not on the IDEAS site. Please be patient as the files may be large.
    File URL: http://www.sciencedirect.com/science/article/B6V8X-4VM2K5B-1/2/1402186034eb4789ce76dfb9d8dd62e6
    Download Restriction: Full text for ScienceDirect subscribers only

    As the access to this document is restricted, you may want to look for a different version under "Related research" (further below) or search for a different version of it.

    Bibliographic Info

    Article provided by Elsevier in its journal Health Policy.

    Volume (Year): 91 (2009)
    Issue (Month): 3 (August)
    Pages: 314-320

    as in new window
    Handle: RePEc:eee:hepoli:v:91:y:2009:i:3:p:314-320

    Contact details of provider:
    Web page: http://www.elsevier.com/locate/healthpol

    Related research

    Keywords: Cardiac catheterization Service delivery Wait times Capacity;

    References

    References listed on IDEAS
    Please report citation or reference errors to , or , if you are the registered author of the cited work, log in to your RePEc Author Service profile, click on "citations" and make appropriate adjustments.:
    as in new window
    1. Sanmartin, C. & Shortt, E.D. & Barer, M.L. & Sheps, S. & Lewis, S. & McDonald, P.W., 2000. "Waiting for Medical Services in Canda: Lots of Heat, but Little Light," Centre for Health Services and Policy Research 2000:5, University of British Columbia - Centre for Health Services and Policy Research..
    2. Gupta, Diwakar & Natarajan, Madhu Kailash & Gafni, Amiram & Wang, Lei & Shilton, Don & Holder, Douglas & Yusuf, Salim, 2007. "Capacity planning for cardiac catheterization: A case study," Health Policy, Elsevier, vol. 82(1), pages 1-11, June.
    3. Lewis, S. & Barer, M.L. & Sanmartin, C. & Sheps, S. & Shortt, S.E.D., 2000. "Ending Waiting-List Mismanagement: Principles and Practice," Centre for Health Services and Policy Research 2000:6, University of British Columbia - Centre for Health Services and Policy Research..
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as in new window

    Cited by:
    1. Mercuri, Mathew & Natarajan, Madhu K. & Norman, Geoff & Gafni, Amiram, 2012. "An even smaller area variation: Differing practice patterns among interventional cardiologists within a single high volume tertiary cardiac centre," Health Policy, Elsevier, vol. 104(2), pages 179-185.

    Lists

    This item is not listed on Wikipedia, on a reading list or among the top items on IDEAS.

    Statistics

    Access and download statistics

    Corrections

    When requesting a correction, please mention this item's handle: RePEc:eee:hepoli:v:91:y:2009:i:3:p:314-320. See general information about how to correct material in RePEc.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: (Zhang, Lei) or () The email address of this maintainer does not seem to be valid anymore. Please ask to update the entry or send us the correct address.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If references are entirely missing, you can add them using this form.

    If the full references list an item that is present in RePEc, but the system did not link to it, you can help with this form.

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your profile, as there may be some citations waiting for confirmation.

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.