Criteria for the Management of Waiting Lists and Waiting Times in Health Care: Report and Recommendation No. R (99) 21 Adopted by the Committee of Ministers of the Council of Europe on 30 September 1999
Council of Europe, Jan 1, 2000 - Law - 74 pages
This report by the Committee of Experts on criteria for the management of waiting lists and waiting times for health care focuses on waiting for hospital treatment, both out-patient and in-patient, and waiting times to the start of treatment or examination in hospitals. It gives a number of reasons for waiting times and waiting lists: the need for care has increased; growing expectation and demand; new technologies leading to wider indications for treatment and an increase in demand; managerial or administrative shortcomings; logistical problems; absence of data; decreasing resources; medical practice - priority setting. The report recommends that the governments of member states review the existence and role of waiting lists and waiting times and where necessary, develop comprehensive and coherent strategies for the management of waiting lists and waiting times. These strategies should take into account the criteria set out in the appendix to the recommendation and the principle of equity in access to health care. The report also recommends that governments ensure that the recommendation is brought to the attention of all relevant actors and adopt the legislative or other measures necessary to give effect to the principles set out in the appendix to the recommendation. Annexes give; examples of minimum data sets from Spain and the UK and suggested outlines for a hospital waiting list policy and for establishing health registers.
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access to health access to specialist actual waiting added to waiting administrative admission date appropriate aspects assessment clinical priority Committee of Ministers Council of Europe decisions delay in accessing demand developed diagnosis disease E-mail Egas Moniz emergency admissions ensure equitable access equity of access European countries Evidence Based Medicine example focus given guidelines health care services health care systems health services health system identify important improving waiting increase information on waiting inpatient waiting institutions issues Kuopio lists and waiting long waiting management of waiting medical criteria minimum data sets Monitoring waiting lists National Health Service need and urgency number of patients number waiting operating organ transplantation organisation patients and consumers patients on waiting patients waiting possible Priority Group problems ranking on waiting Recommendation responsibility risk factors secondary care social staff standardised transparent waiting for treatment waiting list policy waiting times policies