Monitoring prioritisation in the public health-care sector by use of medical guidelines. The case of Norway.
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.
Askildsen
Jan Erik
JE
Uni Rokkansenteret and Health Economics Bergen, HEB, Norway.
Holmås
Tor Helge
TH
Kaarboe
Oddvar
O
D003362:Cost-Benefit Analysis; D003695:Delivery of Health Care; D019983:Guideline Adherence; D015276:Health Care Rationing; D006292:Health Priorities; D006297:Health Services Accessibility; D006801:Humans; D038801:International Classification of Diseases; D009664:Norway; D018579:Patient Selection; D017410:Practice Guidelines as Topic; D017150:Public Sector; D012720:Severity of Illness Index; D014850:Waiting Lists