A census of patients waiting for treatment or consultation in surgical specialties in an English health region.

L J Donaldson, E J Pugh, J E Smyth
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引用次数: 7

Abstract

A census of waiting lists in five surgical specialties within the Northern Region has been carried out. In addition to enumerating those patients waiting for inpatient treatment and outpatient consultation, the census characterized lists in terms of the age and sex structure of those waiting; the length of time people had waited; their district of residence and (for inpatients only) the numbers waiting for certain specified operations or procedures. Patients waiting for inpatient treatment were older, overall, than the general population and, within specialties, ophthalmology lists contained a higher proportion of the very elderly whilst ear, nose and throat surgery lists had a younger age-structure. Three-quarters of ophthalmology inpatient lists were made up of patients waiting for cataract surgery, 14 per cent of patients awaiting orthopaedic inpatient treatment were waiting for hip joint replacement and 32 per cent of gynaecology lists comprised women needing sterilization. These data on age-structure and case composition are broadly similar to recent work carried out by Yates's group who restricted their study to longer waiting lists in the West Midlands Region and Wales. When data in the present study were related to the population from which the cases arose, it was found that the prevalence of outpatient waiting was greater than inpatient waiting except for general surgery (where a higher proportion of the population was awaiting inpatient treatment) and in gynaecology (where outpatient and inpatient waiting was equally common).2+ Standardized waiting list ratios (SWLRs) have been calculated to allow comparisons between districts and specialties, free of distortions produced by differing age-structure of populations.(ABSTRACT TRUNCATED AT 250 WORDS)

英国某卫生地区外科专科等待治疗或会诊的患者普查。
对北部地区五个外科专科的候诊名单进行了普查。除了列举那些等待住院治疗和门诊咨询的患者外,人口普查还根据候诊患者的年龄和性别结构对名单进行了特征描述;人们等待的时间;他们的居住地区和(仅限住院病人)等待某些特定手术或程序的人数。等待住院治疗的患者总体上比一般人群年龄大,在专科中,眼科名单中老年人的比例更高,而耳鼻喉外科名单的年龄结构更年轻。四分之三的眼科住院病人名单是等待白内障手术的病人,14%的骨科住院病人名单是等待髋关节置换术的病人,32%的妇科病人名单是需要绝育的妇女。这些关于年龄结构和病例组成的数据与Yates的小组最近进行的工作大致相似,他们将研究限制在西米德兰兹地区和威尔士的较长等待名单上。当本研究中的数据与病例产生的人群相关时,发现除了普通外科(等待住院治疗的人口比例较高)和妇科(门诊和住院等待同样常见)外,门诊等待的患病率高于住院等待。2+标准化等候名单比率(SWLRs)已被计算出来,以便在地区和专业之间进行比较,避免因人口年龄结构不同而产生的扭曲。(摘要删节250字)
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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