title: Where does the waiting list begin? A short review of the dynamics and organization of modern waiting lists.
abstract: Waiting for medical care is the by-product of system rationing, where demand exceeds supply. In this short report we expand on the conventional concept of the queue, by focusing on the regulation of demand and by incorporating a funnel and spout analogy. Real-world examples are used to illustrate the infancy of funnel or demand-side reform initiatives targeting the queue, and the suggestion is made that policy needs to address the concept of 'waiting' much earlier in the treatment cycle.
authors.affiliation: Institute for Clinical Evaluative Sciences, Toronto, Ontario, Canada.
authors.forename: Dalia L
authors.initials: DL
authors.lastname: Rotstein
authors.forename: David A
authors.initials: DA
authors.lastname: Alter
mesh_terms: D002391:Catchment Area, Health; D015276:Health Care Rationing / Q000458:organization & administration*; D018166:Health Care Reform; D006801:Humans; D020380:Needs Assessment / Q000458:organization & administration*; D018579:Patient Selection; D014850:Waiting Lists