TY - JOUR
AU - Vetter, Norman
AB - The first review is on Policy strategies to reduce waits for elective care ( page 7) by Kreindler from the University of Manitoba, Canada. Her review seeks to assess and explain the effectiveness of policy interventions to reduce elective waiting times She states that strategies with the strongest evidence base include paying for activity, buying capacity locally and setting targets with strong incentives. There is also evidence for improving the use of existing capacity. Limiting demand through rationing can reduce waits, but is ethically problematic. Short-term injections of funding, cross-border treatment schemes, unenforced targets and promotion of private health insurance had the weakest evidence. Available evidence favours options that act fairly directly on supply, demand or local organizations’ behaviour, over indirect strategies that depend on a ‘domino effect.’ Further research is needed to determine how to achieve major, system-wide improvements in the use of capacity. The second review is on Policies for reducing delayed discharge from hospital ( page 33) by Bryan from the University of Surrey, UK. She says that delayed discharge from acute hospital has been a cause of concern for the last 10 years. Older people with complex health needs are particularly vulnerable to delayed discharge 
TI - Editor's choice
JF - British Medical Bulletin
DO - 10.1093/bmb/ldq025
DA - 2010-09-01
UR - https://www.deepdyve.com/lp/oxford-university-press/editor-s-choice-mAdiJUa4vU
SP - 1
EP - 5
VL - 95
IS - 1
DP - DeepDyve
ER -