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Waiting for orthopaedic surgery: factors associated with waiting times and patients' opinion

Lofvendahl, S; Eckerlund, I; Hansagi, H; Malmqvist, B; Resch, Sylvia LU and Hanning, M (2005) In International Journal for Quality in Health Care 17(2). p.133-140
Abstract
Objectives. To assess waiting times for three groups of orthopaedic patients in Sweden and to identify factors explaining variations in waiting time. Also examined were factors associated with patients' perceptions that waiting times were too long. Design. Retrospective study. Setting and study participants. Patients from orthopaedic units at 10 Swedish hospitals participated in the study. A questionnaire was sent to 1336 surgical patients (517 hip replacement, 321 back surgery, and 498 arthroscopic knee surgery) 3 months after surgery. Information extracted from the hospitals' patient administrative systems was also used. Outcome measures. Length of waiting time, socio-economic variables, hospital type, health-related quality of life, and... (More)
Objectives. To assess waiting times for three groups of orthopaedic patients in Sweden and to identify factors explaining variations in waiting time. Also examined were factors associated with patients' perceptions that waiting times were too long. Design. Retrospective study. Setting and study participants. Patients from orthopaedic units at 10 Swedish hospitals participated in the study. A questionnaire was sent to 1336 surgical patients (517 hip replacement, 321 back surgery, and 498 arthroscopic knee surgery) 3 months after surgery. Information extracted from the hospitals' patient administrative systems was also used. Outcome measures. Length of waiting time, socio-economic variables, hospital type, health-related quality of life, and opinion about waiting time. The data were analysed mainly using regression analyses. Results. The overall response rate was 79%. In all pre-operative stages, waiting times were longest in the hip replacement group. Socio-economic variables were not consistent determinants of variation in waiting times except for working status in the back surgery group where. working patients had shorter waiting times than non-working patients irrespective of phase of waiting time. Admission to a county/district county hospital, compared with a university/regional hospital, was associated with shorter time on the waiting fist. Patients with better health-related quality of life had significantly longer waiting times for arthroscopic knee surgery by all waiting time measures. The length of wait was a significant predictor of the patients' acceptance of waiting time. Patients' influence over the date of surgery also appeared to affect their opinion about the waiting time. Conclusions. Hospital-related factors are more important than patient characteristics as explanations of variations in waiting times for orthopaedic surgery. Patients value short waiting times and the possibility of influencing the date of surgery. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
waiting, regression analyses, orthopaedic surgery, patients' opinion, waiting lists, times
in
International Journal for Quality in Health Care
volume
17
issue
2
pages
133 - 140
publisher
Oxford University Press
external identifiers
  • wos:000228269900006
  • scopus:16844383148
ISSN
1464-3677
DOI
10.1093/intqhc/mzi012
language
English
LU publication?
yes
id
632a7364-9894-4239-9de3-dc2125fd13f4 (old id 896873)
date added to LUP
2008-01-16 13:52:15
date last changed
2017-03-05 04:11:49
@article{632a7364-9894-4239-9de3-dc2125fd13f4,
  abstract     = {Objectives. To assess waiting times for three groups of orthopaedic patients in Sweden and to identify factors explaining variations in waiting time. Also examined were factors associated with patients' perceptions that waiting times were too long. Design. Retrospective study. Setting and study participants. Patients from orthopaedic units at 10 Swedish hospitals participated in the study. A questionnaire was sent to 1336 surgical patients (517 hip replacement, 321 back surgery, and 498 arthroscopic knee surgery) 3 months after surgery. Information extracted from the hospitals' patient administrative systems was also used. Outcome measures. Length of waiting time, socio-economic variables, hospital type, health-related quality of life, and opinion about waiting time. The data were analysed mainly using regression analyses. Results. The overall response rate was 79%. In all pre-operative stages, waiting times were longest in the hip replacement group. Socio-economic variables were not consistent determinants of variation in waiting times except for working status in the back surgery group where. working patients had shorter waiting times than non-working patients irrespective of phase of waiting time. Admission to a county/district county hospital, compared with a university/regional hospital, was associated with shorter time on the waiting fist. Patients with better health-related quality of life had significantly longer waiting times for arthroscopic knee surgery by all waiting time measures. The length of wait was a significant predictor of the patients' acceptance of waiting time. Patients' influence over the date of surgery also appeared to affect their opinion about the waiting time. Conclusions. Hospital-related factors are more important than patient characteristics as explanations of variations in waiting times for orthopaedic surgery. Patients value short waiting times and the possibility of influencing the date of surgery.},
  author       = {Lofvendahl, S and Eckerlund, I and Hansagi, H and Malmqvist, B and Resch, Sylvia and Hanning, M},
  issn         = {1464-3677},
  keyword      = {waiting,regression analyses,orthopaedic surgery,patients' opinion,waiting lists,times},
  language     = {eng},
  number       = {2},
  pages        = {133--140},
  publisher    = {Oxford University Press},
  series       = {International Journal for Quality in Health Care},
  title        = {Waiting for orthopaedic surgery: factors associated with waiting times and patients' opinion},
  url          = {http://dx.doi.org/10.1093/intqhc/mzi012},
  volume       = {17},
  year         = {2005},
}