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Prioritisation of patients on waiting lists: a community workshop approach

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  • Angelina L�zaro Alqu�zar

    (Facultad de Derecho, Facultad de Econ�micas. University of Zaragoza, Spain.)

  • Bego�a �lvarez Farizo

    (C.I.T.A.- Unidad de Econom�a. Zaragoza, Spain.)

Abstract

The management of health care systems is facing the problem of long waiting lists in many of the services offered. The use of waiting time as a device for rationing the allocation of medical care does not seem to be a fair and just criterion. The main aim of this paper is the development of a weighting system, based on the patient�s differential characteristics, for prioritising access to the polysomnograph test for sufferers of apnea. To this end, a single Choice Experiment (CE) was applied to a representative sample of the population of Zaragoza (Spain) and a combined approach of CE and Citizens� Juries (CJ) to a group of selected participants. Although CE and CJ have been widely applied to different health economics issues, the joint model proposed for the development of a weighting system is, to the best of our knowledge, new and original. The results of our work suggest an enhanced model which responds to many of the criticisms raised in the relevant literature.

Suggested Citation

  • Angelina L�zaro Alqu�zar & Bego�a �lvarez Farizo, 2006. "Prioritisation of patients on waiting lists: a community workshop approach," Documentos de Trabajo dt2006-08, Facultad de Ciencias Económicas y Empresariales, Universidad de Zaragoza.
    • Handle: RePEc:zar:wpaper:dt2006-08
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    References listed on IDEAS

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    1. Dolan, Paul & Tsuchiya, Aki, 2005. "Health priorities and public preferences: the relative importance of past health experience and future health prospects," Journal of Health Economics, Elsevier, vol. 24(4), pages 703-714, July.
    2. Train,Kenneth E., 2009. "Discrete Choice Methods with Simulation," Cambridge Books, Cambridge University Press, number 9780521766555, September.
    3. Rodríguez-Míguez, Eva & Herrero, Carmen & Pinto-Prades, José Luis, 2004. "Using a point system in the management of waiting lists: the case of cataracts," Social Science & Medicine, Elsevier, vol. 59(3), pages 585-594, August.
    4. Jordan Louviere, 2006. "What You Don’t Know Might Hurt You: Some Unresolved Issues in the Design and Analysis of Discrete Choice Experiments," Environmental & Resource Economics, Springer;European Association of Environmental and Resource Economists, vol. 34(1), pages 173-188, May.
    5. Stephen A. Marglin, 1963. "The Social Rate of Discount and The Optimal Rate of Investment," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 77(1), pages 95-111.
    6. Carol Propper, 1995. "The Disutility of Time Spent on the United Kingdom's National Health Service Waiting Lists," Journal of Human Resources, University of Wisconsin Press, vol. 30(4), pages 677-700.
    7. Gyrd-Hansen, Dorte, 2004. "Investigating the social value of health changes," Journal of Health Economics, Elsevier, vol. 23(6), pages 1101-1116, November.
    8. Colombo, Sergio & Calatrava-Requena, Javier & Conzalex-Roa, M.C., 2005. "Testing Choice Experiment for Benefit Transfer," 2005 International Congress, August 23-27, 2005, Copenhagen, Denmark 24747, European Association of Agricultural Economists.
    9. Aldred, Jonathan & Jacobs, Michael, 2000. "Citizens and wetlands: evaluating the Ely citizens' jury," Ecological Economics, Elsevier, vol. 34(2), pages 217-232, August.
    10. Farrar, Shelley & Ryan, Mandy & Ross, Donald & Ludbrook, Anne, 2000. "Using discrete choice modelling in priority setting: an application to clinical service developments," Social Science & Medicine, Elsevier, vol. 50(1), pages 63-75, January.
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