dc.contributor.author |
MacCormick, Andrew |
en |
dc.contributor.author |
Macmillan, Alexandra |
en |
dc.contributor.author |
Parry, Bryan |
en |
dc.date.accessioned |
2017-07-25T00:55:07Z |
en |
dc.date.issued |
2004-01-01 |
en |
dc.identifier.citation |
Journal of Health Services Research and Policy, 9(1):28-33, 01 Jan 2004 |
en |
dc.identifier.issn |
1355-8196 |
en |
dc.identifier.uri |
http://hdl.handle.net/2292/34486 |
en |
dc.description.abstract |
Objective: A single visual analogue scale is used in New Zealand to prioritise patients for elective general surgery. Although it reflects clinical judgement, it has been criticised for its lack of transparency. We wished to elicit generic criteria used by surgeons for prioritisation of patients for elective general surgery in order to improve the transparency of the visual analogue scale. Methods: Semi-structured interviews were undertaken with 15 general surgeons. Using the repertory grid method, surgeons were asked to explain their rationale for distinguishing between patients they considered a high, medium or low priority for treatment. Interviews were audiotaped, transcribed and analysed for themes. The accuracy of the thematic analysis was checked using a five-point Likert scale to assess surgeons' agreement with the identified themes. Further testing to check for face, content and construct validity was undertaken with a purposive sample of six surgeons prioritising patient vignettes. Results: Eight major themes were deduced: diagnosis; treatment; patient characteristics; symptomatology and sequelae to date; future complications; quality of life; psychological/emotional impact; and socio-political/logistic factors. The utilisation of these themes by surgeons was confirmed. Tests of collinearity indicated good content validity. Factor analysis confirmed the hypothesis of one underlying construct, namely priority. Conclusion: Seven of the themes became the basis for a new clinical priority assessment criteria tool using visual analogue scales to determine priority of patients for elective general surgery. Further testing of reliability and validity is needed. |
en |
dc.language |
English |
en |
dc.publisher |
SAGE / The Royal Society of Medicine Press Ltd |
en |
dc.relation.ispartofseries |
Journal of Health Services Research and Policy |
en |
dc.rights |
Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. Details obtained from http://sherpa.ac.uk/romeo/issn/1355-8196/ |
en |
dc.rights.uri |
https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm |
en |
dc.title |
Identification of criteria for the prioritisation of patients for elective general surgery |
en |
dc.type |
Journal Article |
en |
dc.identifier.doi |
10.1258/135581904322716085 |
en |
pubs.issue |
1 |
en |
pubs.begin-page |
28 |
en |
pubs.volume |
9 |
en |
dc.identifier.pmid |
15006237 |
en |
pubs.author-url |
http://journals.sagepub.com/doi/10.1258/135581904322716085 |
en |
pubs.end-page |
33 |
en |
pubs.publication-status |
Published |
en |
dc.rights.accessrights |
http://purl.org/eprint/accessRights/RestrictedAccess |
en |
pubs.subtype |
Article |
en |
pubs.elements-id |
60004 |
en |
pubs.org-id |
Medical and Health Sciences |
en |
pubs.org-id |
School of Medicine |
en |
pubs.org-id |
Surgery Department |
en |
dc.identifier.eissn |
1758-1060 |
en |
pubs.record-created-at-source-date |
2010-09-01 |
en |
pubs.dimensions-id |
15006237 |
en |