Queueing for coronary surgery during severe supply-demand mismatch in a Canadian referral centre : a case study of implicit rationing.
Queues for in-patient surgery are commonplace in universal health care systems.
Clinicians and hospitals usually manage these waiting lists with informal criteria for determining patient priority-a form or implicit rationing.
To understand the workings or implicit rationing by queue, we took advantage of a natural experiment in the Canadian province of Ontario.
Unprecedentedly severe supply-demand mismatch led to long waiting lists for coronary surgery [CABS] in Ontario during 1987-88.
The crisis was resolved by increased funding and widespread adoption of a multifactorial clinical index for patient priority that was developed by an expert panel in 1989.
Mots-clés Pascal : Chirurgie, Aortocoronaire, File attente, Traitement, Dérivation, Appareil circulatoire pathologie, Homme, Priorité, Hospitalisation, Système santé, Politique sanitaire, Canada, Amérique du Nord, Amérique
Mots-clés Pascal anglais : Surgery, Aortocoronary, Queue, Treatment, Bypass, Cardiovascular disease, Human, Priority, Hospitalization, Health system, Health policy, Canada, North America, America
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 93-0499793
Code Inist : 002B30A01B. Création : 199406.