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A new process for creating points systems for prioritising patients for elective health services

A new process for creating points systems for prioritising patients for elective health services Purpose – This paper aims to describe a new process for creating points systems – i.e. decision criteria and their point values – for prioritising patients for access to elective health services. Design/methodology/approach – The process was developed in New Zealand from a project the authors were closely involved in, beginning in 2004, to create new points systems, initially for coronary artery bypass graft (CABG) surgery and then successively for other elective services. The objective was to overcome the limitations of earlier methodologies for creating points systems. Findings – The process, supported by internet‐based software, consists of seven steps performed by a working group of clinical leaders for the elective service concerned, in consultation with patient groups and other clinicians. The authors' experience reveals it is acceptable to clinicians and their professional organisations as well as to patient groups. Originality/value – The process creates points systems that are valid and reproducible and based on a consensus of clinical judgements. The process is explained in a step‐by‐step manner so that it is possible for readers to apply it themselves to create points systems for their own patient‐prioritisation applications. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Clinical Governance An International Journal Emerald Publishing

A new process for creating points systems for prioritising patients for elective health services

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References (26)

Publisher
Emerald Publishing
Copyright
Copyright © 2012 Emerald Group Publishing Limited. All rights reserved.
ISSN
1477-7274
DOI
10.1108/14777271211251318
Publisher site
See Article on Publisher Site

Abstract

Purpose – This paper aims to describe a new process for creating points systems – i.e. decision criteria and their point values – for prioritising patients for access to elective health services. Design/methodology/approach – The process was developed in New Zealand from a project the authors were closely involved in, beginning in 2004, to create new points systems, initially for coronary artery bypass graft (CABG) surgery and then successively for other elective services. The objective was to overcome the limitations of earlier methodologies for creating points systems. Findings – The process, supported by internet‐based software, consists of seven steps performed by a working group of clinical leaders for the elective service concerned, in consultation with patient groups and other clinicians. The authors' experience reveals it is acceptable to clinicians and their professional organisations as well as to patient groups. Originality/value – The process creates points systems that are valid and reproducible and based on a consensus of clinical judgements. The process is explained in a step‐by‐step manner so that it is possible for readers to apply it themselves to create points systems for their own patient‐prioritisation applications.

Journal

Clinical Governance An International JournalEmerald Publishing

Published: Jul 27, 2012

Keywords: Elective health services; Prioritisation; Points system; Multi‐criteria decision‐making; Conjoint analysis; Health services; Decision making; Patients; New Zealand

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