Enabling policy action using scenario simulation in procedures with guarantees of maximum time to surgery

IF 1.5 4区医学 Q3 HEALTH CARE SCIENCES & SERVICES

Gaceta Sanitaria Pub Date : 2025-01-01 DOI:10.1016/j.gaceta.2025.102521

Francisco Estupiñán-Romero , Santiago Royo-Sierra , Javier González-Galindo , Manuel Ridao-López , Jaime Pinilla-Domínguez , Enrique Bernal-Delgado

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引用次数: 0

Abstract

Objective

Facilitate policy action using scenario simulation of waiting list situations for each of the surgical procedures in order to establish guarantees of maximum waiting times for surgery.

Method

Using the conceptual framework of queuing theory, management indicators can be defined based on a finite set of parameters, among which are the maximum waiting time guarantee until surgery and the probability of non-fulfillment of the guarantee. These scenarios can be configured on the basis of information from the scientific literature or expert consensus.

Results

The tool developed allows the configuration of waiting list situation scenarios based on a proposed dashboard for monitoring and management.

Conclusions

This scenario-building tool facilitates informed discussions among health authorities and providers to set realistic goals, improve adequacy in surgery indication and decide on capacity adjustments.

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在保证最大手术时间的情况下，在程序中使用场景模拟启用策略操作

目的通过对各种外科手术的候诊名单情况进行情景模拟，促进政策行动，以建立最大手术候诊时间的保证。方法利用排队论的概念框架，基于有限的参数集定义管理指标，其中包括手术前的最大等待时间保证和不满足保证的概率。这些情景可以根据来自科学文献或专家共识的信息进行配置。结果开发的工具允许基于拟议的仪表板配置等候名单情景情景进行监测和管理。结论：该情景构建工具促进了卫生当局和提供者之间的知情讨论，以制定切合实际的目标，提高手术适应证的充分性，并决定能力调整。

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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来源期刊

Gaceta Sanitaria 医学-公共卫生、环境卫生与职业卫生

CiteScore

4.10

自引率

5.30%

发文量

审稿时长

29 days

期刊介绍： Gaceta Sanitaria (Health Gazette) is an international journal that accepts articles in Spanish and in English. It is the official scientific journal of the Sociedad Española de Salud Publica y Administración Sanitaria (Spanish Society of Public Health and Health Administration) (SESPAS). The Journal publishes 6 issues per year on different areas of Public Health and Health Administration, including: -Applied epidemiology- Health prevention and promotion- Environmental health- International health- Management and assessment of policies and services- Health technology assessments- Health economics. The editorial process is regulated by a peer review system. It publishes original works, reviews, opinion articles, field and methodology notes, protocols, letters to the editor, editorials, and debates.