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【medical-news】等待时间计划可能导致新的延迟
CMA: Wait times plans may cause new delays
Juliet O’Neill, CanWest News Service
Published: Tuesday, January 30, 2007
OTTAWA — Efforts to reduce wait times for patients in five priority areas of health care may be causing longer waits for patients in other areas, the Canadian Medical Association said Tuesday.
The CMA said the risk of a “balloon effect,” in which one part of the health system gets squeezed so another can expand, was signaled in the results of a survey of about 4,000 doctors, residents and medical students.
CMA president Colin McMillan said thousands of patients are getting faster care in the five priority areas chosen by governments for wait-time benchmarks and performance goals: cancer, cardiac care, diagnostic imaging, joint replacement and sight restoration.
However, the report said 55 per cent of doctors and residents see the emergence of ‘have’ and ‘have-not’ medical disciplines. And 55 per cent of doctors and residents practicing in the priority specialties said adequate investments still have not been made.
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Font: ****McMillan said “balloon effect” figures were not available but he said anecdotal examples are cancellations of elective surgeries to make way for priority surgery and delays in shoulder replacement surgery in favour of hip and knees.
The Canadian Institute for Health Information is scheduled next week to issue a study on whether the focus on priority surgeries is crowding out other types of procedures. Health Minister Tony Clement is also slated to meet his provincial counterparts in Toronto at the end of next week to discuss wait times strategy.
Prime Minister Stephen Harper’s minority Conservative government has been unable to deliver an election campaign promise of a wait times guarantee that would provide access to patients to health care in another province or the United States if it’s not available within a reasonable time in local clinics or hospitals.
“We’re still working on that with the federal government,” McMillan told reporters. “We emphasize that it’s governments, plural. We emphasize that there has been some progress, but we find it variable and to some extent uneven. But we certainly are going to carry this dialogue forward to the conference in Toronto.”
He said the biggest problem is a shortage of doctors, nurses and other health professionals and in some cases, shortages of equipment, such as diagnostic imaging devices.
The CMA survey revealed highly negative and pessimistic assessments about the health care system. Six in 10 doctors and surgeons gave low grades — poor or very poor — to overall progress in improving the state of health care since 2000.
It reported 57 per cent said wait times efforts have been poor or very poor; 48 per cent said adequate investments had not been made in the five priority areas.
And the “most disturbing” result, said Dr. McMillan, is that 59 per cent of respondents think the situation will get worse.
Family physicians and surgeons reported the most negative view of wait-times efforts, with 63 per cent of family doctors and 61 per cent of surgeons rating the efforts as poor or very poor.
Of the 48 medical specialties represented in the survey, none had a majority of respondents who believed adequate investments had been made. Nearly half of respondents said the establishment of the five priority areas had “not at all” relieved some pressure on the system. CMA: Wait times plans may cause new delays
等待时间计划可能导致新的治疗延误
Juliet O’Neill, CanWest News Service
加拿大西部新闻报道
Published: Tuesday, January 30, 2007
出版发行：2007-1-30，周二
OTTAWA — Efforts to reduce wait times for patients in five priority areas of health care may be causing longer waits for patients in other areas, the Canadian Medical Association said Tuesday.The CMA said the risk of a “balloon effect,” in which one part of the health system gets squeezed so another can expand, was signaled in the results of a survey of about 4,000 doctors, residents and medical students.
渥太华--加拿大医学会周二发布到：减少5个领域卫生保健等待时间就会相应的延长其他领域的等待。医学会把看成喻成“气球效应”风险，经4000名医生、住院医师和医学生测量结果显示，假如卫生保健系统这部分被压缩则另一部分肯定会扩张。
CMA president Colin McMillan said thousands of patients are getting faster care in the five priority areas chosen by governments for wait-time benchmarks and performance goals: cancer, cardiac care, diagnostic imaging, joint replacement and sight restoration.
医学会住院医Colin McMillan说到上万病人得到政府选定优先治疗，来评价等待时间基线和治疗目标，共5大领域：癌症、心脏监护、诊断性成像、关节置换和视力保护。
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作者:admin@医学,生命科学 2011-03-15 05:12
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