Prioritisation of elective surgery in New Zealand: The reliability study

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dc.contributor.author Doughty, C. en
dc.contributor.author MacCormick, A.D. en
dc.contributor.author Roake, J. en
dc.contributor.author Fraser, J. en
dc.contributor.author Hider, P. en
dc.contributor.author Kirk, R. en
dc.contributor.author Parry, B. en
dc.contributor.author van, Rij, A. en
dc.contributor.author Theis, J.-C. en
dc.date.accessioned 2009-08-19T04:28:55Z en
dc.date.available 2009-08-19T04:28:55Z en
dc.date.issued 2005 en
dc.identifier.citation New Zealand Medical Journal 118 (1219), 2005 en
dc.identifier.issn 1175-8716 en
dc.identifier.other eid=2-s2.0-27244452958 en
dc.identifier.uri http://hdl.handle.net/2292/4717 en
dc.description An open access copy of this article is available and complies with the copyright holder/publisher conditions. 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.publisher NZMA en
dc.relation.ispartofseries 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 http://www.sherpa.ac.uk/romeo/issn/0028-8446/ en
dc.rights.uri https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm en
dc.source.uri http://www.nzma.org.nz/journal/118-1219/1590/ en
dc.title Prioritisation of elective surgery in New Zealand: The reliability study en
dc.type Journal Article en
dc.subject.marsden Fields of Research::320000 Medical and Health Sciences en
pubs.issue 1219 en
pubs.volume 118 en
dc.description.version VoR - Version of Record en
dc.rights.holder Copyright: New Zealand Medical Association (NZMA) en
dc.identifier.pmid 16059410 en


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