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

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


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.


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:


Autonomous Communities


Activities of Daily Living


 Conjoint Analysis


Health-Related Quality of Life


 Health Utilities Index Mark 3


Non Steroidal Anti-Inflammatory Drugs




Reference Population Values


Medical Outcomes Study Short Form-36


 Sickness Impact Profile


Spanish National Health System


 Therapeutic Education and Functional Readaptation


Total Hip Replacement


 Total Knee Replacement


Visual Analogue Scale


 Visual Function Index


Waiting Lists


Waiting List Time


 Western Ontario and McMaster Universities Osteoarthritis Index



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


  1. Abad P, Alvarez B, Rodríguez E, Rodríguez A. (2006). Hacienda Pública española/Revista de Economía Pública (Instituto de Estudios Fiscales). 179: 113–134.Google Scholar
  2. Allepuz A, Espallargues M, Moharra M. (2005). Informatiu AATRM. 37: 6–8.Google Scholar
  3. Arnett G, Hadorn DC. (2003). Can J Surg. 46: 290–296.PubMedGoogle Scholar
  4. Bellamy N, Buchanan WW, Goldsmith CH, Campbell J, Stitt LW. (1988). J Rheumatol. 15: 1833–1840.PubMedGoogle Scholar
  5. Bergner M, Bobbitt RA, Carter WB, Wilson BS. (1981). Med Care. 19: 787–805.PubMedCrossRefGoogle Scholar
  6. Bernal E. (2002). Gac Sanit. 16: 436–439.PubMedGoogle Scholar
  7. Bowling A. (1997). 2nd ed. Open University Press, Buckingham, Philadelphia.Google Scholar
  8. Brook RH, Chassin MR, Fink A, Solomon DH, Kosecoff J, Park RE. (1986). Int J Technol Assess Health Care. 2: 53–63.PubMedCrossRefGoogle Scholar
  9. Cerdá E, de Pablos L, Rodríguez MV. (2002). INV. 3/02.Google Scholar
  10. Editorial. (2002). Gac Sanit. 16: 374-375.Google Scholar
  11. Escobar A, Quintana JM, Arostegui I, Azkárate J, Güenaga JI, Arenaza JC, Garai I. (2003). Int J Technol Assess Health Care. 19: 57–70.PubMedCrossRefGoogle Scholar
  12. Escobar A, Quintana JM, Bilbao A, Ibañez B, Arenaza JC, Gutiérrez L, et al. (2007). J Eval Clin Pract. 13: 429–434.PubMedCrossRefGoogle Scholar
  13. Espallargues M, Gallo P, Joan M, Pons JMV, Sampietro-Colom L. (2000). Agència d’Avaluació de Tecnologia i Recerca Mèdiques. Servei Català de la Salut. Departament de Sanitat i Seguretat Social. Generalitat de Catalunya. NovembreGoogle Scholar
  14. Espallargues M, Sampietro-Colom L, Castells X, Pinto JL, Rodríguez E. (2003). Agència d’Avaluació de Tecnologia i Recerca Mèdiques. Catsalut. Department de Sanitat i Seguretat Social. Generalitat de CatalunyaGoogle Scholar
  15. Espallargues M, Sampietro-Colom L, Castells X, Comas M, Rodríguez E, Pinto JL. (2004). Agència d’Avaluació de Tecnologia i Recerca Mèdiques. Catsalut. Department de Sanitat i Seguretat Social. Generalitat de Catalunya Setembre (BR02/2004)Google Scholar
  16. Fricker J. (1999). BMJ. 318: 78.PubMedGoogle Scholar
  17. Green PV, Srinivasan V. (1978). J Consum Res. 5: 103–122.CrossRefGoogle Scholar
  18. Grootendorst P, Feeny D, Furlong W. (2000). Med Care. 38: 290–299.PubMedCrossRefGoogle Scholar
  19. Haddorn DC, Holmes AC. (1997). BMJ. 314: 131–134.Google Scholar
  20. Jones CA, Beaupre LA, Johnston DWC, Suarez-Almazor ME. (2007). Rheum Dis Clin N Am. 33: 71–86.CrossRefGoogle Scholar
  21. Jordan KM, Arden NK, Doherty M, Bannwarth B, Bijlsma JW, Dieppe P, et al. (2003). Ann Rheum Dis. 62: 145–155.CrossRefGoogle Scholar
  22. Lee BO, Chaboyer W, Wallis M. (2008). J Nurs Scholarsh. 40: 83–90.PubMedCrossRefGoogle Scholar
  23. Luce RD, Tukey JW. (1964). J Math Psychol. 1: 1–27.CrossRefGoogle Scholar
  24. Ma Quintana J, Escobar A, Bilbao A. (2006). Health Serv Res. 6: 24.CrossRefGoogle Scholar
  25. Norregaard JC, Petersen PB, Alonso J, Dunn E, Black C, Andersen TF. (1998). Br J Ophthalmol. 82: 1107–1111.PubMedCrossRefGoogle Scholar
  26. Nuñez M, Nuñez E, Segur JM, Macule F, Quinto L, Hernández MV, Vilalta C. (2006). Osteoarthritis Cartilage. 14: 279–285.PubMedCrossRefGoogle Scholar
  27. Núñez M, Núñez E, Segur JM, Maculé F, Sanchez A, Hernandez MV, Vilalta C. (2007a). Osteoarthritis Cartilage. 15: 258–265.PubMedCrossRefGoogle Scholar
  28. Núñez M, Núñez E, del Val JL, Ortega R, Segur J, Hernández M, Lozano L, Sastre S, Maculé F. (2007b). Osteoarthritis Cartilage. 9: 1001–1007.CrossRefGoogle Scholar
  29. Peiró S, Meneu R, Marques JA, Librero J, Ordiñana R. (1998). Papeles de Economía Española. 76: 165–175.Google Scholar
  30. Pinto JL, Rodríguez E, Castells X, Gracia X, Sánchez FI. (2000). Ministerio de Sanidad y Consumo, Secretaría General TécnicaGoogle Scholar
  31. Quintana JM, Aróstegui I, Azkarate J, Goenaga JI, Elexpe X, Letona J, Arcelay A. (2000). J Clin Epidemiol. 53: 1200–1208.PubMedCrossRefGoogle Scholar
  32. Quintana JM, Cabriada J, de Tejada IL, Varona M, Oribe V, Barrios B, Aróstegui I, Bilbao A. (2002). Qual. Saf Health Care. 11: 320–326.PubMedCrossRefGoogle Scholar
  33. Quintana JM, Escobar A, Arostegui. (2006a). Health Serv Res. 6: 23.CrossRefGoogle Scholar
  34. Quintana JM, Escobar A, Arostegui I, Bilbao A, Azkarate J, Goenaga I, Arenaza JC. (2006b). Arch Intern Med. 166: 220–226.PubMedCrossRefGoogle Scholar
  35. Rivera A, González E, Martín MA, Oñate JL, Sánchez I. (2004) Cuadernos Económicos de I.C.E. 67: 93–106.Google Scholar
  36. Rodriguez-Míguez E, Herrero C, Pinto-Prades JL. (2004). Soc Sci Med. 59: 585–594.PubMedCrossRefGoogle Scholar
  37. Serra-Sutton V, Allepuz A, Espallargues M. (2008). Informatiu AATRM. 42: 3–5.Google Scholar
  38. Steinberg EP, Tielsch JM, Schein OD, Javitt JC, Sharkey P, Cassard SD, Legro MW, Diener-West M, Bass EB, Damiano AM. (1994). Arch Ophthalmol. 112: 630–638.PubMedGoogle Scholar
  39. Ware JE, Sherbourne CD. (1992). Med Care. 30: 473–483.PubMedCrossRefGoogle Scholar

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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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