Patient-Reported Outcomes and Waiting for Elective Surgery: Preliminary Findings Jason M. Sutherland Centre for Health Services and Policy Research University of British Columbia The Taming of the Queue Appropriateness and Accountability April 4, 2014
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Patient-Reported Outcomes and Waiting for Elective Surgery: Preliminary Findings
Patient-Reported Outcomes and Waiting for Elective Surgery: Preliminary Findings. Jason M. Sutherland Centre for Health Services and Policy Research University of British Columbia. The Taming of the Queue Appropriateness and Accountability April 4, 2014. Disclosure. - PowerPoint PPT Presentation
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Patient-Reported Outcomes and Waiting for Elective Surgery:
Preliminary FindingsJason M. Sutherland
Centre for Health Services and Policy ResearchUniversity of British Columbia
The Taming of the QueueAppropriateness and Accountability
April 4, 2014
Disclosure
The research presented today is funded by:• Canadian Institute for Health Research (CIHR)• Vancouver Coastal Health Authority (in-kind)
Approved by:• University of British Columbia Behavioural
Research Ethics Board• Vancouver Coastal Health Authority Privacy Office
Source: CIHI, CMS National Health Expenditure Historical Data
SpendingAnnual % change in total health and hospital spending, 1981-2012
How are we doing?
Commonwealth Fund 2013
Germany
Switzerland
USA
Netherlands
New Zealand
France
UK
Australia
Sweden
Norway
Canada
0% 5% 10% 15% 20% 25% 30% 35% 40% 45%
waited 4 months or more for elective surgery waited 2 months or more for specialist apt
What is missing?
Collect and measure patient-reported outcomes
• Completed by patients• Standardized, validated questionnaires• Measure self-perceived quality of life, functional
well-being and health status
• Generic or condition-specific
Elective surgery– Measure patient’s reported outcomes prospectively– Evaluate changes in patients’ health over time
Self-reported health on the wait listMethods
Where do we collect PROs?
• 7 specialties; 6 hospitals in metro Vancouver region
Self-reported health on the wait listMethods
Gener
al Surg
ery
Plastic
s
Gynec
ology
Otolar
yngolo
gy
Urolog
y
Orthop
edics
Neuro
surg
ery
44%
16% 13% 12%7% 5% 2%
Response Rate:• Entering wait list: 45 %• Just before surgery: 68 %