How’s your waiting list?
Keywords:
Waiting list, healthcare management, hospital efficiency, access to care, Key Performance IndicatorsAbstract
Background. Surgical waiting lists pose a major challenge for public healthcare systems, affecting access to care and the perceived quality of services. However, there is no standardized method for assessing the efficiency and management of waiting lists. Study Design. This study proposes a model based on Key Performance Indicators (KPIs) to measure the Waiting List sustainability of surgical waiting lists, evaluating their balance, attractiveness, efficiency, and timeliness.
Methods. Three main KPIs were defined and applied to both hypothetical and real datasets, analyzing data collected at the IRCCS Istituto Ortopedico Rizzoli from January 2024 to September 2024. Statistical analysis was conducted using Excel, calculating ratios between enrolled, admitted, canceled, and overdue patients on the waiting list.
Results. The analysis showed that some hospital departments have a balanced management of waiting lists, while others exhibit critical issues, with high rates of overdue or canceled patients. The graphical representation of the indicators helped identify areas for improvement in resource management.
Conclusions. The adoption of standardized KPIs could serve as a valuable tool for monitoring and optimizing waiting lists, supporting strategic decisions to enhance access to healthcare services.
References
1. Siciliani LA. A note on the dynamic interaction between waiting times and waiting lists. Health Econ. 2008 May;17(5):63947. doi: 10.1002/hec.1286. PMID: 17948224.
2. Scarabino T, Nemore F, Lorusso S, Maggialetti A. Liste d’attesa. In: Bonomo L, Carriero A, Centonze M, Scarabino T, eds. Management in radiologia. Milano: Springer; 2010. Available from: https://link.springer.com/content/ pdf/10.1007/978-88-470-1717-7.pdf
3. Riganti A, Siciliani L, Fiorio CV. The effect of waiting times on demand and supply for elective surgery: Evidence from Italy. Health Econ. 2017 Sep;26 Suppl 2:92-105. doi: 10.1002/hec.3545. PMID: 28940920.
4. Myrberg K, Wiger M, Björkman A. Development of a maturity model for demand and capacity management in healthcare. BMC Health Serv Res. 2024 Sep 23;24:1109. doi: 10.1186/s12913-024-11456-4. PMID: 39313781; PMCID: PMC11421199.
5. Remijn I. Capacity Management in Healthcare [Bachelor Research Report]. University of Twente; 2018. Supervisors: Hans EI, Schneider T.
6. Ministero della Salute. Linee di Indirizzo per il governo del percorso del paziente chirurgico programmato di cui all’Accordo Stato Regioni n. 100/CSR. 2020. Available from: https://www.statoregioni.it/it/conferenza-stato-regioni/ sedute-2020/seduta-del-09072020/atti/repertorio-atto-n100csr/[Last accessed: 2025 Feb 3].
7. Costa A, Dammacco G, Preite D, Tafuro A. Il recupero delle liste d’attesa durante il Covid-19: risorse straordinarie per soluzioni improbabili. Mecosan. 2021;119:7-32. doi:
10.3280/MESA2021-119002.
8. Istat. Report Bes 2023. Available from: https://www.istat. it/wp-content/uploads/2024/11/12.pdf
9. Rosenbäck RG, Svensson A. Resilience in keeping the balance between demand and capacity in the COVID-19 pandemic, a case study at a Swedish middle-sized hospital. BMC Health Serv Res. 2023 Feb 28;23:202. doi: 10.1186/ s12913-023-09182-4. doi: 10.1186/s12913-023-09182-4. PMID: 36855122; PMCID: PMC9972311.
10. Fong K, Mushtaq Y, House T, Gordon D, Chen Y, Griffths D, et al. Understanding waiting lists pressures. MedRxiv [Preprint]. 2022 Aug 23. doi:
10.1101/2022.08.23.22279117v1.
11. Vissers JM, Van Der Bij JD, Kusters RJ. Towards decision support for waiting lists: An operations management view. Health Care Manag Sci. 2001Jun;4(2):133-42. doi:
10.1023/a:1011409711828. PMID: 11393742.
12. Strozzi F, Garagiola E, Trucco P. Analysing the attractiveness, availability and accessibility of healthcare providers via social network analysis (SNA). Decis Support Syst. 2019; 120:25-37. doi: 10.1016/j.dss.2019.03.007.
13. Ministero della Salute. Piano Nazionale di Governo delle Liste di Attesa (PNGLA) 2021-2023. 2021. Available from: https://www.quotidianosanita.it/allegati/allegato9075224. PDF.
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