Prioritisation of elective surgery in New Zealand: The Reliability Study.

Show simple item record Doughty, Carolyn en MacCormick, Andrew en Roake, Justin en Fraser, John en Hider, Phil en Kirk, Ray en Parry, Bryan en van Rij, Andre en Theis, Jean-Claude en 2018-10-15T03:05:11Z en 2005-07-29 en
dc.identifier.issn 0028-8446 en
dc.identifier.uri en
dc.description.abstract AIMS: This paper describes the rationale and methodology of a study assessing the reliability of tools for clinical prioritisation (Clinical Priority Assessment Criteria [CPAC]) of patients for elective surgery in New Zealand. METHODS: Surgeons from three specialties (general, vascular, and orthopaedic surgery) completed a computerised evaluation rating clinical vignettes across a range of diagnoses using several priority tools. The study design is described and an outline of the individual tool development and definitions is given. RESULTS: Of the 124 surgeons that participated in this study, 48% (60) were general surgeons, 21% (26) were vascular surgeons and 31% (38) were orthopaedic surgeons. The response rates in the first phase of data collection were 67%, 79%, and 63% for general, vascular, and orthopaedic surgery respectively. Completion rates were high with 100%, 93%, and 98% of the same groupings of surgeons completing the first round evaluations. A further 77% to 89% of the participants from the first round also completed the re-test evaluation. CONCLUSION: This study indicates that assessment of the reliability of CPAC tools currently in use in New Zealand is feasible using a vignette-based approach. In the future, study designs that allow for some face-to-face contact may be preferable for achieving optimal response and completion rates among surgeons. Further work from this study will focus on the individual results for each specialty and examining whether altering ethnicity status in vignettes had any effect on scoring behaviour. en
dc.format.medium Electronic en
dc.language eng en
dc.relation.ispartofseries The New Zealand medical journal 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 en
dc.rights.uri en
dc.subject Humans en
dc.subject Musculoskeletal Diseases en
dc.subject Vascular Diseases en
dc.subject Pain Measurement en
dc.subject Orthopedic Procedures en
dc.subject Activities of Daily Living en
dc.subject Vascular Surgical Procedures en
dc.subject Surgical Procedures, Elective en
dc.subject Cost of Illness en
dc.subject Health Care Rationing en
dc.subject Decision Making, Computer-Assisted en
dc.subject New Zealand en
dc.title Prioritisation of elective surgery in New Zealand: The Reliability Study. en
dc.type Journal Article en
pubs.issue 1219 en
pubs.begin-page U1590 en
pubs.volume 118 en
dc.rights.holder Copyright: NZMA en
dc.identifier.pmid 16059410 en
pubs.publication-status Published en
dc.rights.accessrights en
pubs.subtype Research Support, Non-U.S. Gov't en
pubs.subtype Evaluation Studies en
pubs.subtype Journal Article en
pubs.elements-id 139099 en Medical and Health Sciences en School of Medicine en Surgery Department en
dc.identifier.eissn 1175-8716 en
pubs.record-created-at-source-date 2005-08-01 en
pubs.dimensions-id 16059410 en

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