Survey of Access to GastroEnterology in Canada: The SAGE wait times program
Survey of Access to GastroEnterology in Canada: The SAGE wait times program
复制标题
DOI：
10.1155/2010/246492
复制
发表时间：
2010-01-01
期刊：
影响因子：
--
通讯作者：
Irvine, E. Jan
中科院分区：
文献类型：
--
作者：
Leddin, Desmond;Bridges, Ronald J.;Irvine, E. Jan
背景：评估加拿大目前专科医疗服务的等待时间是一种关键方法，可以帮助政府和医疗保健提供者明智地规划未来的医疗需求。这些数据并不容易获得。已经开发了一种获取咨询或手术时等待时间数据的方法，该方法应该适用于其他专家小组，并允许评估多年间隔的等待时间趋势。方法：2008年11月，加拿大各地的胃肠病医生被要求完成一份问卷(在线或传真)，其中包括至少连续五次新咨询和连续五次手术患者的个人人口统计数据和一周内的数据，这些患者以前没有接受过相同适应症的手术。收集18个主要适应症的等待时间，并将结果与2005年收集的类似调查数据进行比较。结果：观察到的等待时间最长的是筛查结肠镜检查(201天)和监测既往结肠癌或息肉(272天)。最短的等待时间是癌症--很可能是基于成像或体检(82天)、严重或快速进展的吞咽困难或吞咽疼痛(83天)、有记录的铁缺乏、缺铁性贫血(90天)以及有报警症状的消化不良(99天)。与2005年的数据相比，2008年的总等待时间总体上延长了(127天比155天；P
BACKGROUND: Assessment of current wait times for specialist health services in Canada is a key method that can assist government and health care providers to plan wisely for future health needs. These data are not readily available. A method to capture wait time data at the time of consultation or procedure has been developed, which should be applicable to other specialist groups and also allows for assessment of wait time trends over intervals of years.METHODS: In November 2008, gastroenterologists across Canada were asked to complete a questionnaire (online or by fax) that included personal demographics and data from one week on at least five consecutive new consultations and five consecutive procedure patients who had not previously undergone a procedure for the same indication. Wait times were collected for 18 primary indications and results were then compared with similar survey data collected in 2005.RESULTS: The longest wait times observed were for screening colonoscopy (201 days) and surveillance of previous colon cancer or polyps (272 days). The shortest wait times were for cancer-likely based on imaging or physical examination (82 days), severe or rapidly progressing dysphagia or odynophagia (83 days), documented iron, deficiency anemia (90 days) and dyspepsia with alarm symptoms (99 days). Compared with 2005 data, total wait times in 2008 were lengthened overall (127 days versus 155 days; P