Impact of a priority system on patients in waiting lists for knee arthroplasty

2014 ◽  
Vol 21 (1) ◽  
pp. 91-96 ◽  
Author(s):  
Cristian Tebé ◽  
Merce Comas ◽  
Paula Adam ◽  
Maite Solans-Domènech ◽  
Alejandro Allepuz ◽  
...  
Keyword(s):  
Knee Arthroplasty ◽  
Waiting Lists ◽  
Priority System ◽  
A Priority

scholarly journals Elective orthopaedic cancellations due to the COVID-19 pandemic: where are we now, and where are we heading?

2021 ◽  
Vol 2 (2) ◽  
pp. 103-110 ◽  
Author(s):  
Sam Oussedik ◽  
Sam MacIntyre ◽  
Joanne Gray ◽  
Peter McMeekin ◽  
Nick D. Clement ◽  
...  
Keyword(s):  
Knee Arthroplasty ◽  
Financial Burden ◽  
Waiting Lists ◽  
Waiting List ◽  
Joint Registry ◽  
Unmet Demand ◽  
Number Of Patients ◽  
Recovery Strategies ◽  
Hip And Knee Arthroplasty ◽  
The Cost

Aims The primary aim is to estimate the current and potential number of patients on NHS England orthopaedic elective waiting lists by November 2020. The secondary aims are to model recovery strategies; review the deficit of hip and knee arthroplasty from National Joint Registry (NJR) data; and assess the cost of returning to pre-COVID-19 waiting list numbers. Methods A model of referral, waiting list, and eventual surgery was created and calibrated using historical data from NHS England (April 2017 to March 2020) and was used to investigate the possible consequences of unmet demand resulting from fewer patients entering the treatment pathway and recovery strategies. NJR data were used to estimate the deficit of hip and knee arthroplasty by August 2020 and NHS tariff costs were used to calculate the financial burden. Results By November 2020, the elective waiting list in England is predicted to be between 885,286 and 1,028,733. If reduced hospital capacity is factored into the model, returning to full capacity by November, the waiting list could be as large as 1.4 million. With a 30% increase in productivity, it would take 20 months if there was no hidden burden of unreferred patients, and 48 months if there was a hidden burden, to return to pre-COVID-19 waiting list numbers. By August 2020, the estimated deficits of hip and knee arthroplasties from NJR data were 18,298 (44.8%) and 16,567 (38.6%), respectively, compared to the same time period in 2019. The cost to clear this black log would be £198,811,335. Conclusion There will be up to 1.4 million patients on elective orthopaedic waiting lists in England by November 2020, approximate three-times the pre-COVID-19 average. There are various strategies for recovery to return to pre-COVID-19 waiting list numbers reliant on increasing capacity, but these have substantial cost implications. Cite this article: Bone Jt Open 2021;2(2):103–110.

Need-based waiting lists for hip and knee arthroplasty

2000 ◽  
Vol 169 (2) ◽  
pp. 125-126 ◽  
Author(s):  
R. Kingston ◽  
M. Carey ◽  
E. Masterson
Keyword(s):  
Knee Arthroplasty ◽  
Waiting Lists ◽  
Hip And Knee Arthroplasty

The Western Canada Waiting List Project: development of a priority referral score for hip and knee arthroplasty

2007 ◽  
Vol 13 (2) ◽  
pp. 192-197 ◽  
Author(s):  
Carolyn De Coster ◽  
Stewart McMillan ◽  
Rollin Brant ◽  
John McGurran ◽  
Tom Noseworthy ◽  
...  
Keyword(s):  
Knee Arthroplasty ◽  
Waiting List ◽  
Western Canada ◽  
Project Development ◽  
Hip And Knee Arthroplasty ◽  
A Priority

A Priority System with Setup Times

1968 ◽  
Vol 16 (3) ◽  
pp. 602-612 ◽  
Author(s):  
Peter Mevert
Keyword(s):  
Setup Times ◽  
Priority System ◽  
A Priority

scholarly journals Filling the Organ Donor Pool by Giving Priority

2019 ◽  
Vol 45 (1) ◽  
pp. 49-71
Author(s):  
Matthew D. Meng ◽  
Roberta N. Clarke
Keyword(s):  
Organ Donor ◽  
Crowding Out ◽  
Anticipated Regret ◽  
Behavioral Experiments ◽  
Extrinsic Rewards ◽  
Donor Pool ◽  
Target Behavior ◽  
Priority System ◽  
A Priority ◽  
To Receive

Abstract Context: Many of the alternatives for procuring donor organs are considered either ineffective, unethical, or illegal. One possibility that may not face such challenges is a priority system whereby individuals who register as an organ donor are given priority to receive an organ over those who have not registered. However, providing extrinsic rewards can sometimes paradoxically reduce the target behavior, especially for those who are more altruistically motivated. Methods: Two behavioral experiments were employed and data were analyzed using regressions as well as examining open-ended responses. Findings: The results suggest that giving priority to receive an organ to those who register to donate postmortem could increase overall registration rates. Further, the effect of providing priority appears to work by inducing anticipated regret, which can be used to overcome common obstacles to registration. Finally, it was found that a priority system is most effective in increasing donor rates for those individuals who are less altruistically motivated and does not reduce registration rates for those who are more altruistically motivated. Conclusions: Given the unabated shortage of transplant organs, the finding that a priority system could increase the willingness to register as a donor without crowding out altruistically motivated individuals is highly encouraging.

A Priority System of Case-Load Selection

1977 ◽  
Vol 8 (2) ◽  
pp. 85-98 ◽  
Author(s):  
Caroline S. Zemmol
Keyword(s):  
Time Allocation ◽  
Service Systems ◽  
Speech And Language ◽  
Case Load ◽  
Priority System ◽  
Speech And Language Pathologists ◽  
A Priority ◽  
Scheduling Models

This article describes a priority system of case-load selection that may be used as a tool by school speech and language pathologists to reorganize their delivery-of-service systems according to pupils' needs. The system provides a rationale for time allocation, supports accountability, and is adaptable to various scheduling models.

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