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Who's next? A new process for creating points systems for prioritising patients for elective health services

Author

Listed:
  • Alison Barber

    (Clinical Prioritisation Team, Elective Services Programme, Ministry of Health, Auckland, New Zealand)

  • Paul Hansen

    (Department of Economics, University of Otago)

  • Ray Naden

    (Synergia, Auckland, New Zealand)

  • Franz Ombler

    (1000Minds, Wellington 6023, New Zealand)

  • Ralph Stewart

    (Green Lane Cardiovascular Service and University of Auckland)

Abstract

We describe a new process for creating points systems for prioritising patients for elective health services. Beginning in 2004, the authors were closely involved in a project to develop the process, initially for coronary artery bypass graft surgery and then successively for other elective services. The project was led by New Zealand's Ministry of Health in collaboration with the relevant clinical professional organisations. The objective was to overcome the limitations of earlier methodologies and to create points systems that are valid and reproducible and based on a consensus of clinical judgements. As the project progressed and the process was refined, other points systems were successively created (and clinically endorsed) for hip and knee replacements, varicose veins surgery, cataract surgery, gynaecology, plastic surgery, otorhinolaryngology, and heart valve surgery. Other points systems are planned for the future. Since 2008 the process has also been used in the public health systems of Canada's western provinces. The process is explained in a step-by-step manner so that others are able to follow it to create their own points systems if desired

Suggested Citation

  • Alison Barber & Paul Hansen & Ray Naden & Franz Ombler & Ralph Stewart, 2011. "Who's next? A new process for creating points systems for prioritising patients for elective health services," Working Papers 1104, University of Otago, Department of Economics, revised Jul 2011.
    • Handle: RePEc:otg:wpaper:1104
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    File URL: http://www.otago.ac.nz/economics/research/otago076662.pdf
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    References listed on IDEAS

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    1. Ramón Álvarez-Esteban, 2008. "Using discrete choice experiments to value health and health care," International Review on Public and Nonprofit Marketing, Springer;International Association of Public and Non-Profit Marketing, vol. 5(2), pages 201-203, December.
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