Analysis of public dental service waiting lists in Queensland

2015 ◽  
Vol 21 (1) ◽  
pp. 27 ◽  
Author(s):  
Ratilal Lalloo ◽  
Jeroen Kroon
Keyword(s):  
Low Income ◽  
Waiting Times ◽  
Open Data ◽  
Waiting Lists ◽  
Dental Service ◽  
Waiting List ◽  
Dental Services ◽  
Public Dental Service ◽  
Data Policy ◽  
The Impact

Information on public dental service waiting lists is available as part of the Queensland Government open data policy. Data were summarised across the care categories and health districts to present the total number and percentage of people waiting for care and who have waited beyond the desirable period. As of 31 December 2012 there were 130 546 people on the dental waiting list; of these 85.8%, 8.5% and 2.2% were waiting for general care desirable within 24, 12 and 3 months, respectively. Across all care categories, almost 56% of those on the waiting list were beyond the desirable waiting period. The average number of people on the waiting list and the average number waiting beyond the desirable time differ substantially per clinic by district. Ongoing analysis of the Queensland public dental service waiting list database will determine the impact on patient waiting times of Federal Government initiatives announced in 2012 to treat an estimated 400 000 patients on waiting lists nationwide over the next 3 years and to expand services to assist low-income adults to receive dental services.

Impact of initiatives to reduce public dental waiting lists in Queensland, Australia

2015 ◽  
Vol 21 (4) ◽  
pp. 460 ◽  
Author(s):  
Ratilal Lalloo ◽  
Jeroen Kroon
Keyword(s):  
Open Data ◽  
Waiting Lists ◽  
Dental Service ◽  
Waiting List ◽  
Oral Diseases ◽  
Protection Measures ◽  
The Public ◽  
Public Dental Service ◽  
Data Policy ◽  
General Care

Information on public dental service waiting lists is available as part of the Queensland Government open data policy. Data were analysed for the period December 2012 to December 2013, to present the total number and percentage of people waiting for care and who have waited beyond the desirable period. Over the 1-year study period, the number of people on the waiting list decreased from 130 546 to 77 146, a difference of 40.9%. A decrease of 80.6% was found for those waiting beyond the desirable period for care. The largest decrease was for general care (44.9%). The initiatives to reduce the public dental waiting list appear to have been successful in significantly reducing the number of people waiting in general and especially those waiting beyond the desirable period. The initiatives to decrease waiting lists represent a downstream approach and are less likely to have any significant impact on the prevention of oral diseases. As waiting lists are reduced, more emphasis should be placed on upstream approaches such as health promotion, specific protection measures and targeting high-risk individuals for oral diseases.

The Right to Housing: Challenges Associated with the ‘Waiting List System’ Ekurhuleni Metropolitan Municipality V Various Occupiers, Eden Park Extension 5 2014 3 SA 23 (SCA)

2017 ◽  
Vol 30 (1) ◽  
pp. 112-121
Author(s):  
Shamier Ebrahim
Keyword(s):  
Supreme Court ◽  
Waiting Lists ◽  
The State ◽  
Waiting List ◽  
Allocation Process ◽  
The Supreme Court ◽  
The Right ◽  
The Impact ◽  
Court Of Appeal

The right to adequate housing is a constitutional imperative which is contained in section 26 of the Constitution. The state is tasked with the progressive realisation of this right. The allocation of housing has been plagued with challenges which impact negatively on the allocation process. This note analyses Ekurhuleni Metropolitan Municipality v Various Occupiers, Eden Park Extension 51 which dealt with a situation where one of the main reasons provided by the Supreme Court of Appeal for refusing the eviction order was because the appellants subjected the unlawful occupiers to defective waiting lists and failed to engage with the community regarding the compilation of the lists and the criteria used to identify beneficiaries. This case brings to the fore the importance of a coherent (reasonable) waiting list in eviction proceedings. This note further analyses the impact of the waiting list system in eviction proceedings and makes recommendations regarding what would constitute a coherent (reasonable) waiting list for the purpose of section 26(2) of the Constitution.

Societal and Economical Impact on Citizens through Innovations Using Open Government Data

2015 ◽  
pp. 147-178 ◽  
Author(s):  
D. P. Misra ◽  
Alka Mishra
Keyword(s):  
Good Governance ◽  
Open Data ◽  
Indian Society ◽  
Government Accountability ◽  
Open Government Data ◽  
Data Platform ◽  
Data Policy ◽  
Government Data ◽  
The Government ◽  
The Impact

This chapter analyzes the impact that an open data policy can have on the citizens of India. Especially in a scenario where government accountability and transparency has become the buzzword for good governance and further look at whether the availability of open data can become an agent for socio-economic change in India. What kind of change it can bring to India which has its own complexities when it comes to socio economic issues and whether the steps taken by the government are up to the mark to address these complexities through data sharing. In order to understand the changes which may occur for the good or the bad, the chapter looks at specific examples where the open data platform have been utilized in India and what impact they have had on the Indian society and how the citizens have responded to it.

scholarly journals High emergency organ allocation rule in lung transplantation: a simulation study

2017 ◽  
Vol 3 (4) ◽  
pp. 00020-2017 ◽  
Author(s):  
Julien Riou ◽  
Pierre-Yves Boëlle ◽  
Jason D. Christie ◽  
Gabriel Thabut
Keyword(s):  
Lung Transplantation ◽  
Waiting Time ◽  
Waiting Times ◽  
Organ Allocation ◽  
Waiting List ◽  
Allocation Rule ◽  
Long Term Effects ◽  
Term Survival ◽  
The Impact

The scarcity of suitable organ donors leads to protracted waiting times and mortality in patients awaiting lung transplantation. This study aims to assess the short- and long-term effects of a high emergency organ allocation policy on the outcome of lung transplantation.We developed a simulation model of lung transplantation waiting queues under two allocation strategies, based either on waiting time only or on additional criteria to prioritise the sickest patients. The model was informed by data from the United Network for Organ Sharing. We compared the impact of these strategies on waiting time, waiting list mortality and overall survival in various situations of organ scarcity.The impact of a high emergency allocation strategy depends largely on the organ supply. When organ supply is sufficient (>95 organs per 100 patients), it may prevent a small number of early deaths (1 year survival: 93.7% against 92.4% for waiting time only) without significant impact on waiting times or long-term survival. When the organ/recipient ratio is lower, the benefits in early mortality are larger but are counterbalanced by a dramatic increase of the size of the waiting list. Consequently, we observed a progressive increase of mortality on the waiting list (although still lower than with waiting time only), a deterioration of patients’ condition at transplant and a decrease of post-transplant survival times.High emergency organ allocation is an effective strategy to reduce mortality on the waiting list, but causes a disruption of the list equilibrium that may have detrimental long-term effects in situations of significant organ scarcity.

scholarly journals Barriers of utilisation of dental services among children and adolescent: A systematic review

2018 ◽  
Vol 30 (3) ◽  
pp. 150
Author(s):  
Avlien Farlina ◽  
Diah Ayu Maharani
Keyword(s):  
Systematic Review ◽  
Low Income ◽  
Dental Care ◽  
Dental Service ◽  
Oral Diseases ◽  
Dental Services ◽  
Children And Adolescent ◽  
Care Utilisation ◽  
Economic Barriers ◽  
Low Income Families

Introduction: Underutilisation of dental services among children and adolescent is a worldwide problem that increases caries prevalence. Younger children are less likely to receive dental care and, thus, experience oral diseases more often. This systematic review was aimed to explore the barriers of utilisation of dental services among children and adolescent. Methods: The literature search was conducted in the electronic database of Pubmed©/Medline©. The literature exclusion criteria were adults and qualitative study. Keywords were verified in MeSH. Boolean “AND” and “NOT” was used to specify the search. Twenty-four literature were filtered from Pubmed©, and twenty-three literature fit the inclusion criteria. Result: The result revealed that low-income families, minority ethnic, and disability condition have lower dental care utilisation. Conclusion: The identified potential determinants of oral health and dental care utilisation among children and adolescent are economic barriers, uninsurance, and availability of dental service providers.Keywords: Dental care, dental services, utilisation, barrier, children, adolescent.

scholarly journals The Challenges of Open Data Movement for Education: What is the Say of Young Employees and Students in Croatia?

2021 ◽  
pp. 374-383
Author(s):  
Branka Mraović
Keyword(s):  
Young People ◽  
Open Data ◽  
Technical Knowledge ◽  
Data Movement ◽  
Data Policy ◽  
Data Portal ◽  
Open Data Movement ◽  
The Impact ◽  
The City ◽  
Shed Light

This paper aims to shed light on how students and young employees in Croatia assess their education for open data and what is their opinion on the compliance of the central Open Data Portal with the needs of young people as well as how they evaluate open data policy related to the young people in Croatia. This research highlights the lack of technical knowledge as a serious obstacle to the productive use of open data. As many as 56% of respondents from companies that have undergone digital transformation believe that they do not have enough knowledge to participate in open data projects, and the same scepticism is expressed by 59.6% of non-technical respondents and 45.7% of students. The data presented in this paper is part of a broader empirical research on the impact of digitalization on the transformation of the Croatian economy, carried out by the author in late 2018 on a sample of 51 young employees from 10 companies in the city of Zagreb and 70 students from 16 technical and non-technical Faculties of Zagreb University.

scholarly journals Telehealth to support referral management in a universal health system: a before-and-after study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Sabrina Dalbosco Gadenz ◽  
Josué Basso ◽  
Patrícia Roberta Berithe Pedrosa de Oliviera ◽  
Stephan Sperling ◽  
Marcus Vinicius Dutra Zuanazzi ◽  
...  
Keyword(s):  
Linear Models ◽  
Patient Flow ◽  
Waiting Times ◽  
Median Number ◽  
Waiting Lists ◽  
Referral Management ◽  
Before And After ◽  
The Impact ◽  
Universal Health ◽  
Before And After Study

Abstract Background Management of patient flow within a healthcare network, allowing equitable and qualified access to healthcare, is a major challenge for universal health systems. Implementation of telehealth strategies to support referral management has been shown to increase primary care resolution and to promote coordination of care. The objective of this study was to assess the impact of telehealth strategies on waiting lists and waiting times for specialized care in Brazil. Methods Before-and-after study with measures obtained between January 2019 and February 2020. Baseline measurements of waiting lists were obtained immediately before the implementation of a remotely operated referral management system. Post-interventional measurements were obtained monthly, up to six months after the beginning of operation. Data was extracted from the database of the project. General linear models were applied to assess interaction of locality and time over number of cases on waiting lists and waiting times. Results At baseline, the median number of cases on waiting lists ranged from 2961 to 12,305 cases. Reductions of the number of cases on waiting lists after six months of operation were observed in all localities. The magnitude of the reduction ranged from 54.67 to 88.97 %. Interaction of time measurements was statistically significant from the second month onward. Median waiting times ranged from 159 to 241 days at baseline. After six months, there was a decrease of 100 and 114 waiting days in two localities, respectively, with reduction of waiting times only for high-risk cases in the third locality. Conclusions Adoption of telehealth strategies resulted in the reduction of number of cases on waiting lists. Results were consistent across localities, suggesting that telehealth interventions are viable in diverse settings.

scholarly journals Contextual and individual factors associated with public dental services utilisation in Brazil: A multilevel analysis

PLoS ONE ◽  
2021 ◽  
Vol 16 (7) ◽  
pp. e0254310
Author(s):  
Maria Helena Rodrigues Galvão ◽  
Arthur de Almeida Medeiros ◽  
Angelo Giuseppe Roncalli
Keyword(s):  
Oral Health ◽  
Multilevel Analysis ◽  
Behavioral Model ◽  
Dental Service ◽  
Individual Factors ◽  
Service Utilisation ◽  
Health Coverage ◽  
Dental Services ◽  
Cross Sectional ◽  
Public Dental Service

Background This study verified the association between contextual and individual factors and public dental services utilisation in Brazil. Methods The study was conducted based on a cross-sectional population-based household survey performed in Brazil (National Health Survey– 2019)). Data was collected between August 2019 and March 2020. Total sample included 43,167 individuals aged ≥15 years who had at least one dental appointment in the last 12 months before interview. Study outcome was ‘public dental service utilisation’, and Andersen’s behavioral model was adopted for selecting independent variables. A multilevel analysis was performed using individual factors as first level and federation units as second level. Results The highest prevalence of public dental service utilisation on an individual level was observed among unable to read or write people (PR: 3.31; p<0.001), indigenous (PR: 1.40; p<0.001), black or brown (PR: 1.16; p<0.001), with per capita household income of up to U$124 (PR: 2.40; p<0.001), living in the rural area (PR: 1.28; p<0.001), and who self-rated oral health as regular (PR: 1.15; p<0.001) or very bad/bad (PR: 1.26; p<0.001). On the contextual level, highest PR of public dental service utilisation was observed among those living in federal units with increased oral health coverage in primary health care. Conclusions Public dental service utilisation is associated with individual and contextual factors. These results can guide decision-making based on evidence from policymakers, demonstrating the potential for mitigating oral health inequalities and increasing service coverage in a public and universal health system.

scholarly journals P-BN44 The impact of the COVID-19 pandemic on waiting lists for laparoscopic cholecystectomy and its effect on patient care and outcomes

2021 ◽  
Vol 108 (Supplement_9) ◽  
Author(s):  
Geraint Herbert ◽  
Charlotte Thomas
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Patient Care ◽  
Positive Impact ◽  
Elective Surgery ◽  
Emergency Operation ◽  
Waiting Lists ◽  
Waiting List ◽  
Subtotal Cholecystectomy ◽  
Significant Difference ◽  
The Impact

Abstract Background It has been widely reported that the COVID-19 pandemic has had a detrimental impact on waiting lists for elective surgery in the NHS. Delays in laparoscopic cholecystectomy (LC) are likely to prolong suffering for symptomatic patients and risk increasing complications for patients which may then require emergency care and intervention. In this study we aim to quantify the impact of the COVID-19 pandemic on elective waiting lists and to assess what implications this might have on patient care and outcomes.  Methods Electronic health records were retrospectively interrogated for patients undergoing LC in both March 2019 (prior to the COVID-19 pandemic) and March 2021. The following data was captured: age, gender, elective vs emergency operation, laparoscopic vs open, total vs subtotal cholecystectomy, use of drains, length of stay/daycase rates, the number of emergency presentations prior to operation and the number of days between being listed for surgery and their operation. The results were analysed using SPSS Statistics (IBM, New York).  Results 111 patients were included in the study (25 male and 86 female). Of these, 60 had their LC in 2019, and 51 in 2021. The age and gender distribution of the patients in both time periods were similar. The median number of days on the waiting list was significantly higher (P &lt; 0.001) for patients in 2021 at 379.5 days, compared with 153 days in 2019. There was a significant increase in the number of emergency presentations prior to LC in 2021 (P = 0.025) with an average of 0.7 presentations per patient compared with 0.45 in 2019. Additionally, there was a significant increase in the number of emergency LC performed in 2021 (P = 0.002), with 15 performed compared with 4 in 2019, representing 29.4% and 6.7% of all LC respectively. There was no significant change in rates of conversion to open, drains or subtotal cholecystectomy. There was no significant difference in daycase rates for elective patients in either period (55% vs 58%). Conclusions Whilst there has been no change in the operative outcomes for patients undergoing LC, there has been a stark increase in the length of time patients are on a waiting list prior to undergoing elective LC. This has resulted in a significant increase in the number of emergency presentations and the number of emergency LC performed. This study demonstrates the wider impact of increasing waiting list times beyond the prolonged suffering of symptomatic patients. A significant reduction in waiting list times would be beneficial to both patients and healthcare providers, with the aim of reducing the number of emergency presentations. A reduction in these would have a positive impact on acute services and on the associated cost implications.  

Diagnosis and prognosis of Australia&s health information for evidence-based policy

2002 ◽  
Vol 7 (1_suppl) ◽  
pp. 40-45 ◽  
Author(s):  
Kees Van Gool ◽  
Emily Lancsar ◽  
Rosalie Viney ◽  
Jane Hall ◽  
Philip Haywood
Keyword(s):  
Health Information ◽  
Waiting Times ◽  
Specific Treatment ◽  
Waiting Lists ◽  
Data Availability ◽  
Evidence Based ◽  
Cost Shifting ◽  
Public And Private ◽  
Evidence Based Policy ◽  
The Impact

Without adequate information it is difficult to determine the success or failure of health policies. This paper assesses the adequacy of Australia&s health information for evidence-based policy. Three policy areas are analysed: the impact of changing the public and private health financing mix; waiting lists and waiting times; and pooling of funds. In each, the issue is analysed to identify the key policy questions, the available data and existing analyses are examined, and gaps in data availability and analysis are assessed. There is variability in the extent and usefulness of current health information. In terms of the impact of changing the financing mix, there is good information on the distribution of finance, but much less available on comparative use or efficiency of public and private hospitals. There is comprehensive information available on waiting lists and waiting times but little analysis of the implications of this for equity of access or the costs and benefits of reducing waiting times. There is insufficient information for the development of the capitation based formulae required for the introduction of the pooling of funds, nor enough information to assess the extent and impact of current cost-shifting which might be addressed by pooling funds. While the concept of evidence-based medicine has been embraced with regard to specific treatment decisions, there has not been a parallel investment in the use of evidence to drive policy decisions.

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