title: General commentary on access to cardiovascular care in Canada: universal access, but when? Treating the right patient at the right time.
abstract: In 2004, the Canadian Cardiovascular Society formed an Access to Care Working Group with a mandate to use the best science and information available to establish reasonable triage categories and safe wait times for common cardiovascular services and procedures through a series of commentaries. The present commentary is the first in the series and lays out issues regarding timely access to care that are common to all cardiovascular services and procedures. The commentary briefly describes the 'right' to timely access, wait lists as a health care system management tool, and the role of the physician as patient advocate and gatekeeper. It also provides advice to funders, administrators and providers who must monitor and manage wait times to improve access to cardiovascular care in Canada and restore the confidence of Canadians in their publicly funded health care system.
authors.affiliation: Department of Medicine, Dalhousie University, Halifax, Nova Scotia. boneill@dal.ca
authors.forename: B J
authors.initials: BJ
authors.lastname: O'Neill
authors.forename: J M
authors.initials: JM
authors.lastname: Brophy
authors.forename: C S
authors.initials: CS
authors.lastname: Simpson
authors.forename: M M
authors.initials: MM
authors.lastname: Sholdice
authors.forename: M
authors.initials: M
authors.lastname: Knudtson
authors.forename: D B
authors.initials: DB
authors.lastname: Ross
authors.forename: H
authors.initials: H
authors.lastname: Ross
authors.forename: J
authors.initials: J
authors.lastname: Rottger
authors.forename: Kevin
authors.initials: K
authors.lastname: Glasgow
authors.forename: Peter
authors.initials: P
authors.lastname: Kryworuk
mesh_terms: D002170:Canada; D002318:Cardiovascular Diseases / Q000628:therapy*; D020793:Gatekeeping; D015276:Health Care Rationing; D006292:Health Priorities; D006297:Health Services Accessibility / Q000191:economics / Q000331:legislation & jurisprudence; D006801:Humans; D009313:National Health Programs / Q000331:legislation & jurisprudence / Q000458:organization & administration; D028701:Patient Rights / Q000331:legislation & jurisprudence; D012017:Referral and Consultation; D012941:Social Responsibility; D013997:Time Factors; D014218:Triage; D019472:Universal Health Insurance; D014850:Waiting Lists