Who's next? A new process for creating points systems for prioritising patients for elective health services

Alison Barber, Paul Hansen (), Ray Naden, Franz Ombler () and Ralph Stewart
Additional contact information
Alison Barber: Clinical Prioritisation Team, Elective Services Programme, Ministry of Health, Auckland, New Zealand
Paul Hansen: Department of Economics, University of Otago
Ray Naden: Synergia, Auckland, New Zealand
Franz Ombler: 1000Minds, Wellington 6023, New Zealand
Ralph Stewart: Green Lane Cardiovascular Service and University of Auckland

No 1104, Working Papers from University of Otago, Department of Economics

Abstract: We describe a new process for creating points systems for prioritising patients for elective health services. Beginning in 2004, the authors were closely involved in a project to develop the process, initially for coronary artery bypass graft surgery and then successively for other elective services. The project was led by New Zealand's Ministry of Health in collaboration with the relevant clinical professional organisations. The objective was to overcome the limitations of earlier methodologies and to create points systems that are valid and reproducible and based on a consensus of clinical judgements. As the project progressed and the process was refined, other points systems were successively created (and clinically endorsed) for hip and knee replacements, varicose veins surgery, cataract surgery, gynaecology, plastic surgery, otorhinolaryngology, and heart valve surgery. Other points systems are planned for the future. Since 2008 the process has also been used in the public health systems of Canada's western provinces. The process is explained in a step-by-step manner so that others are able to follow it to create their own points systems if desired

Pages: 12 pages
Date: 2011-07, Revised 2011-07
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