利用医疗指南监测公共医疗部门的优先排序:挪威案例

Monitoring prioritisation in the public health-care sector by use of medical guidelines. The case of Norway

Health Economics · 2010
被引 32
人大 A-ABS 3

中文导读

提出一种利用医疗指南中规定的等待时间监测公共医疗系统优先排序的新方法,并以挪威患者数据检验指南遵守情况,发现重症患者相对优先级偏低。

Abstract

This paper presents a new way to monitor priority settings in public health-care systems. We take departure in medical guidelines prescribing acceptable waiting times for different medical descriptions. Allocating ICD10 codes to the medical descriptions, we are able to compare actual waiting times to the recommended maximum waiting times. This way we use the medical guidelines as a tool for monitoring prioritisation in the health sector. In an application, using data from the Norwegian Patient Register, we test statistically for compliance with the guidelines. The results indicate that patients suffering from the most severe conditions are receiving too low priority in the Norwegian health-care sector relative to patients of lower priority.

医疗指南优先级监测等待时间挪威医疗系统