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Waiting time information in the Italian NHS: A citizen perspective

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  • De Rosis, Sabina
  • Guidotti, Elisa
  • Zuccarino, Sara
  • Venturi, Giulia
  • Ferré, Francesca

Abstract

Public involvement in the management and communication of waiting times is known to support initiatives to reduce waiting times, as well as increase fairness and promote transparency and accountability. In order to improve transparency and communication to citizens, Italy recently updated the National Regulatory Plan for Waiting Lists (2019–2021), which calls for the disclosure of waiting time information on healthcare provider webpages. This study analyses waiting time information for outpatient visits and digital services available on the institutional website pages of 144 public healthcare organisations in nine regions and two autonomous provinces of Italy. Web pages were analysed both in terms of the available information/services, using a grid, and in terms of the quality of the text using an advanced readability assessment tool (READ-IT). This information was complemented and validated by regional healthcare key informants during research-specific workshops. Waiting time information disclosure, digital services and text readability varied both within and between the regional healthcare systems and organisations. The types and characteristics of waiting time information and statistics vary considerably with a negative impact on their use for benchmarking and their readability and usability for booking purposes. Overall, communication weaknesses due to low harmonization and clarity of information can undermine efforts in effectively informing and involving the public through online waiting time data disclosure.

Suggested Citation

  • De Rosis, Sabina & Guidotti, Elisa & Zuccarino, Sara & Venturi, Giulia & Ferré, Francesca, 2020. "Waiting time information in the Italian NHS: A citizen perspective," Health Policy, Elsevier, vol. 124(8), pages 796-804.
  • Handle: RePEc:eee:hepoli:v:124:y:2020:i:8:p:796-804
    DOI: 10.1016/j.healthpol.2020.05.012
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    References listed on IDEAS

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    1. Besley, Tim & Bevan, Gwyn & Burchardi, Konrad, 2009. "Naming & Shaming: The impacts of different regimes on hospital waiting times in England and Wales," CEPR Discussion Papers 7306, C.E.P.R. Discussion Papers.
    2. Stoop, Arjen P. & Vrangbaek, Karsten & Berg, Marc, 2005. "Theory and practice of waiting time data as a performance indicator in health care: A case study from The Netherlands," Health Policy, Elsevier, vol. 73(1), pages 41-51, July.
    3. repec:cup:hecopl:v:14:y:2019:i:02:p:135-140_00 is not listed on IDEAS
    4. Nuti, Sabina & Vola, Federico & Bonini, Anna & Vainieri, Milena, 2016. "Making governance work in the health care sector: evidence from a ‘natural experiment’ in Italy," Health Economics, Policy and Law, Cambridge University Press, vol. 11(1), pages 17-38, January.
    5. Gwyn Bevan & Richard Hamblin, 2009. "Hitting and missing targets by ambulance services for emergency calls: effects of different systems of performance measurement within the UK," Journal of the Royal Statistical Society Series A, Royal Statistical Society, vol. 172(1), pages 161-190, January.
    6. Edwards, Rhiannon Tudor & Boland, Angela & Wilkinson, Clare & Cohen, David & Williams, John, 2003. "Clinical and lay preferences for the explicit prioritisation of elective waiting lists: survey evidence from Wales," Health Policy, Elsevier, vol. 63(3), pages 229-237, March.
    7. Jeremy Hurst & Luigi Siciliani, 2003. "Tackling Excessive Waiting Times for Elective Surgery: A Comparison of Policies in Twelve OECD Countries," OECD Health Working Papers 6, OECD Publishing.
    8. Seghieri, Chiara & Berta, Paolo & Nuti, Sabina, 2019. "Geographic variation in inpatient costs for Acute Myocardial Infarction care: Insights from Italy," Health Policy, Elsevier, vol. 123(5), pages 449-456.
    9. Besley, Timothy & Burchardi, Konrad B. & Bevan, Gwen, 2009. "Naming and shaming: the impacts of different regimes on hospital waiting times in England and Wales," LSE Research Online Documents on Economics 33775, London School of Economics and Political Science, LSE Library.
    10. Milena Vainieri & Daniel Adrian Lungu & Sabina Nuti, 2018. "Insights on the effectiveness of reward schemes from 10‐year longitudinal case studies in 2 Italian regions," International Journal of Health Planning and Management, Wiley Blackwell, vol. 33(2), pages 474-484, April.
    11. Bevan, Gwyn & Evans, Alice & Nuti, Sabina, 2019. "Reputations count: why benchmarking performance is improving health care across the world," Health Economics, Policy and Law, Cambridge University Press, vol. 14(2), pages 141-161, April.
    12. Tediosi, Fabrizio & Gabriele, Stefania & Longo, Francesco, 2009. "Governing decentralization in health care under tough budget constraint: What can we learn from the Italian experience?," Health Policy, Elsevier, vol. 90(2-3), pages 303-312, May.
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    Cited by:

    1. Pirrotta, L. & Guidotti, E. & Tramontani, C. & Bignardelli, E. & Venturi, G. & De Rosis, S., 2022. "COVID-19 vaccinations: An overview of the Italian national health system's online communication from a citizen perspective," Health Policy, Elsevier, vol. 126(10), pages 970-979.

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