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

  • M. Núñez
  • E. Núñez
  • J. M. Segur
Reference work entry

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.

Keywords

Cataract Surgery Total Knee Replacement Conjoint Analysis Wait List Total Joint Arthroplasties 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

List of 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

Notes

Acknowledgments

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

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© Springer Science+Business Media LLC 2010

Authors and Affiliations

  • M. Núñez
  • E. Núñez
  • J. M. Segur

There are no affiliations available

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