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Prioritisation of patients on waiting lists: a community workshop approach

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Author Info

  • Angelina Lázaro Alquézar

    (Facultad de Derecho, Facultad de Económicas. University of Zaragoza, Spain.)

  • Begoña Álvarez Farizo

    ()
    (C.I.T.A.- Unidad de Economía. Zaragoza, Spain.)

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    Abstract

    The management of health care systems is facing the problem of long waiting lists in many of the services offered. The use of waiting time as a device for rationing the allocation of medical care does not seem to be a fair and just criterion. The main aim of this paper is the development of a weighting system, based on the patient’s differential characteristics, for prioritising access to the polysomnograph test for sufferers of apnea. To this end, a single Choice Experiment (CE) was applied to a representative sample of the population of Zaragoza (Spain) and a combined approach of CE and Citizens’ Juries (CJ) to a group of selected participants. Although CE and CJ have been widely applied to different health economics issues, the joint model proposed for the development of a weighting system is, to the best of our knowledge, new and original. The results of our work suggest an enhanced model which responds to many of the criticisms raised in the relevant literature.

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    File URL: http://www.dteconz.unizar.es/DT2006-08.pdf
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    Bibliographic Info

    Paper provided by Facultad de Ciencias Económicas y Empresariales, Universidad de Zaragoza in its series Documentos de Trabajo with number dt2006-08.

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    Date of creation: Aug 2006
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    Handle: RePEc:zar:wpaper:dt2006-08

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    Web page: http://www.dteconz.unizar.es/
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    Related research

    Keywords: Waiting lists; prioritisation; weighting system; discrete choice experiments; Citizens’ Juries.;

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    1. Dolan, Paul & Tsuchiya, Aki, 2005. "Health priorities and public preferences: the relative importance of past health experience and future health prospects," Journal of Health Economics, Elsevier, vol. 24(4), pages 703-714, July.
    2. Eva Rodríguez-Míguez & Carmen Herrero & José Luis Pinto-Prades, 2001. "Using a point system in the management of waiting lists: the case of cataracts," Working Papers 0107, Universidade de Vigo, Departamento de Economía Aplicada.
    3. Wendy Kenyon & Nick Hanley & Ceara Nevin, 2001. "Citizens' juries: an aid to environmental valuation?," Environment and Planning C: Government and Policy, Pion Ltd, London, vol. 19(4), pages 557-566, August.
    4. Carol Propper, 1995. "The Disutility of Time Spent on the United Kingdom's National Health Service Waiting Lists," Journal of Human Resources, University of Wisconsin Press, vol. 30(4), pages 677-700.
    5. Gyrd-Hansen, Dorte, 2004. "Investigating the social value of health changes," Journal of Health Economics, Elsevier, vol. 23(6), pages 1101-1116, November.
    6. Colombo, Sergio & Calatrava-Requena, Javier & Conzalex-Roa, M.C., 2005. "Testing Choice Experiment for Benefit Transfer," 2005 International Congress, August 23-27, 2005, Copenhagen, Denmark 24747, European Association of Agricultural Economists.
    7. Louviere,Jordan J. & Hensher,David A. & Swait,Joffre D., 2000. "Stated Choice Methods," Cambridge Books, Cambridge University Press, number 9780521788304, April.
    8. Jordan Louviere, 2006. "What You Don’t Know Might Hurt You: Some Unresolved Issues in the Design and Analysis of Discrete Choice Experiments," Environmental & Resource Economics, European Association of Environmental and Resource Economists, vol. 34(1), pages 173-188, 05.
    9. Peter Burge & Nancy Devlin & John Appleby & Charlene Rohr & Jonathan Grant, 2004. "Do Patients Always Prefer Quicker Treatment?: A Discrete Choice Analysis of Patients," Applied Health Economics and Health Policy, Springer Healthcare | Adis, vol. 3(4), pages 183-194.
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