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2015, Number 1

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salud publica mex 2015; 57 (1)

Waiting times for surgical and diagnostic procedures in public hospitals in Mexico.

Contreras-Loya D, Gómez-Dantés O, Puentes E, Garrido-Latorre F, Castro-Tinoco M, Fajardo-Dolci G
Full text How to cite this article

Language: English
References: 25
Page: 29-37
PDF size: 350.89 Kb.


Key words:

waiting lists, health system, utilization, consumer satisfaction, quality control.

ABSTRACT

Objective. A retrospective evaluation of waiting times for elective procedures was conducted in a sample of Mexican public hospitals from the following institutions: the Mexican Institute for Social Security (IMSS), the Institute for Social Security and Social Services for Civil Servants (ISSSTE) and the Ministry of Health (MoH). Our aim was to describe current waiting times and identify opportunities to redistribute service demand among public institutions. Materials and methods. We examined current waiting times and productivity for seven elective surgical and four diagnostic imaging procedures, selected on the basis of their relative frequency and comparability with other national health systems. Results. Mean waiting time for the seven surgical procedures in the three institutions was 14 weeks. IMSS and ISSSTE hospitals showed better performance (12 and 13 weeks) than the MoH hospitals (15 weeks). Mean waiting time for the four diagnostic procedures was 11 weeks. IMSS hospitals (10 weeks) showed better average waiting times than ISSSTE (12 weeks) and MoH hospitals (11 weeks). Conclusion. Substantial variations were revealed, not only among institutions but also within the same institution. These variations need to be addressed in order to improve patient satisfaction.


REFERENCES

  1. Murray CJL, Frenk J. A framework for assessing the performance of health systems. WHO Bull 2000;78(6):717-731.

  2. Oudhoff JP, Timmermans DRM, Knol DL, Bijnen AB, van der Wall G. Waiting times for elective general surgery: impact on health related quality of life and psychological consequences. BMC Public Health 2007;7:164.

  3. Hurst J, Siciliani L. Tackling excessive waiting times for elective surgery: a comparison of policies in twelve OECD countries. Paris: OECD, 2003.

  4. Moran CG, Wenn RT, Sikand M, Taylor AM. Early mortality after hip fracture: is delay before surgery important?”. J Bone Joint Surgery 2005;87:483-489.

  5. Shiga T, Wajima Z, Ohe Y. Is operative delay associated with increased mortality of hip fracture patients? Systematic review, meta-analysis, and meta-regression. Canadian J Anesthesia 2008;55(3):146-154.

  6. Derrett S, Paul C, Morris JM. Waiting for elective surgery: effects on health-related quality of life”. J Int Soc Quality Health Care1999;11(1):47-57.

  7. Braybrooke J, Ahn H, Gallant A, Ford M, Bronstein Y, Finkelstein J, Yee A. The impact of surgical wait time on patient-based outcomes in posterior lumbar spinal surgery. European Spine J 2007;16:1832-1839.

  8. Han QL, Wang YH, Liu F. Comparison of complications and results of early versus delayed surgery for Gartland type III supracondylar humeral fractures in pediatric patients. Orthopaedic Surgery 2011;3 (4):242-246.

  9. Sobolev BG, Fradet G, Hayden R, Kuramoto L, Levy AR, FitzGerald MJ. Delay in admission for elective coronary-artery bypass grafting is associated with increased in-hospital mortality. BMC Health Serv Res 2008;8:185.

  10. Arthur HM, Daniels C, McKelvie R, Hirsh J, Rush B. Effect of a preoperative intervention on preoperative and postoperative outcomes in low-risk patients waiting elective coronary artery bypass graft surgery. Am College Physicians- Am Soc Intern Med 2000;133(4):253-262.

  11. Oudhoff JP, Timmermans DRM, Bijnen AB, van der Wall G. Waiting for elective general surgery: physical, psychological and social consequences. ANZ J Surgery 2004;74:361-367.

  12. Satisfacción y trato. In: Secretaría de Salud. Observatorio del Desempeño Hospitalario 2009. Mexico City: Secretaría de Salud, 2010:71-84.

  13. Gómez-Dantés O, Sesma S, Becerril S, Knaul FM, Arreola H, Frenk J. El sistema de salud de México. Salud Publica Mex 2011;53(supl 2):S220-S232.

  14. Frenk J. Bridging the divide: global lessons from evidence-based health policy in Mexico. Lancet 2006;368:954-961.

  15. Frenk J, González-Pier E, Gómez-Dantés O, Lezana MA, Knaul FM. Comprehensive reform to improve health system performance in Mexico. Lancet 2006;368:1525-1534.

  16. IMSS Transparente [Internet]. Instituto Mexicano del Seguro Social, 2014 [accessed 2014 Sep 5]. Available from: http://www.imss.gob.mx/ transparencia

  17. British Columbia Surgical Wait Times Website [Internet]. Province of British Columbia 2013 [accessed 2012 June 10]. Available from: https:// swt.hlth.gov.bc.ca

  18. Benchmarks for treatment and wait time trending across Canada [Internet]. Canadian Institute for Health Information 2013 [accessed 2012 June 10]. Available from: http://waittimes.cihi.ca salud pública de méxico / vol. 57, no. 1, enero-febrero de 2015 37 Waiting times for elective care in Mexico Artículo original

  19. Siciliani L, Hurst J. Explaining waiting times variations for elective surgery across OECD countries. Paris: OECD, 2003.

  20. Knaul FM, Nigenda G, Lozano R, Arreola-Ornelas H, Langer A, Frenk J. Cáncer de mama en México: una prioridad apremiante. Salud Publica Mex 2009;51(supl 2):S335-S334.

  21. Martin S, Smith P. Modelling waiting times for elective surgery. York, UK: Centre for Health Economics, 1995.

  22. Open database: Canadian Institute for Health Information [Internet]. Statistics of number of hip and knee replacements by sex, Canada 2007- 2008 [accessed 2012 Jun 12]. Available from: http://www.cihi.ca/CIHIext- portal/internet/en/Document/types+of+care/specialized+services/ joint+replacements/STATS_CJR_R_2010_FIG2.

  23. Observatorio del Desempeño Hospitalario [Internet]. Secretaría de Salud, México [accessed 2012 May 4]. Available from: www.dged. salud.gob.mx.

  24. Open database: National Breast Screening Programme Statistics [Internet]. England National Health System 2010-2011 [accessed 2012 May 4]. Available from: http://www.ic.nhs.uk/statistics-and-data-collections/screening/ breast-screening/breast-screening-programme--england-2010-2011

  25. Knaul FM, Nigenda G, Lozano R, Arreola-Ornelas H, Langer A, Frenk J. Cáncer de mama en México: una prioridad apremiante. Salud Publica Mex 2009; 51(2):335-34




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salud publica mex. 2015;57