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Health-Related Quality of Life and Prioritization Strategies in Waiting Lists: Spanish Aspects

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Handbook of Disease Burdens and Quality of Life Measures

Abstract:

In developed countries, both increases in life expectancy and advances in health technology have resulted in waiting lists (WL) in the majority of national health systems, where citizens have the right to universal health care and protection. The health and social problems generated by WL have led to measures to minimize their impact. In Spain, maximum guaranteed WL times have been established and supply has been increased by increasing productivity and resources. Most studies on WL have been aimed at establishing priorities based on explicit criteria developed through the participation and consensus of health professionals, patients and the general public. In addition, strategies have been incorporated to improve surgical indications and diagnostic tests. Some studies have exclusively centered on the use of health-related quality of life (HRQL) measures, which assess the health benefits that directly affect the welfare of the patient. Elective surgical procedures, mainly cataracts and hip and knee arthroplasties are responsible for the most difficult waiting lists in terms of numbers and waiting list time. This chapter presents a view of this complex problem in Spain, based on existing studies and centered on surgical WL and HRQL.

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Abbreviations

AC:

Autonomous Communities

ADLs:

Activities of Daily Living

CA:

Conjoint Analysis

HRQL:

Health-Related Quality of Life

HUI3:

Health Utilities Index Mark 3

NSAIDs:

Non Steroidal Anti-Inflammatory Drugs

OA:

Osteoarthritis

RPV:

Reference Population Values

SF-36:

Medical Outcomes Study Short Form-36

SIP:

Sickness Impact Profile

SNHS:

Spanish National Health System

TEFR:

Therapeutic Education and Functional Readaptation

THR:

Total Hip Replacement

TKR:

Total Knee Replacement

VAS:

Visual Analogue Scale

VF-14:

Visual Function Index

WL:

Waiting Lists

WLT:

Waiting List Time

WOMAC:

Western Ontario and McMaster Universities Osteoarthritis Index

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Acknowledgments

We wish to thank F. Segura, D. Buss and R. Ortega for their help.

Authors
  1. M. Núñez
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  2. E. Núñez
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  3. J. M. Segur
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Editor information

Editors and Affiliations

  1. Dept. Nutrition and Dietetics Nutritional Sciences Research Division School of Biomedical & Health Sciences, King's College London, Franklin‐Wilkins Building 150 Stamford Street, SE1 9NH, London, UK

    Victor R. Preedy (Prof.) (Prof.)

  2. Mel and Enid Zuckerman College of Public Health, University of Arizona, Health Science Center 1295 N. Martin, P.O. Box 245155, 85724-5155, Tucson, AZ

    Ronald R. Watson (Prof.) (Prof.)

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Núñez, M., Núñez, E., Segur, J.M. (2010). Health-Related Quality of Life and Prioritization Strategies in Waiting Lists: Spanish Aspects. In: Preedy, V.R., Watson, R.R. (eds) Handbook of Disease Burdens and Quality of Life Measures. Springer, New York, NY. https://doi.org/10.1007/978-0-387-78665-0_106

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  • DOI: https://doi.org/10.1007/978-0-387-78665-0_106

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-0-387-78664-3

  • Online ISBN: 978-0-387-78665-0

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