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Monitoring prioritisation in the public health‐care sector by use of medical guidelines. The case of Norway

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  • Jan Erik Askildsen
  • Tor Helge Holmås
  • Oddvar Kaarboe
Abstract
This paper presents a new way to monitor priority settings in public health‐care systems. We take departure in medical guidelines prescribing acceptable waiting times for different medical descriptions. Allocating ICD10 codes to the medical descriptions, we are able to compare actual waiting times to the recommended maximum waiting times. This way we use the medical guidelines as a tool for monitoring prioritisation in the health sector. In an application, using data from the Norwegian Patient Register, we test statistically for compliance with the guidelines. The results indicate that patients suffering from the most severe conditions are receiving too low priority in the Norwegian health‐care sector relative to patients of lower priority. Copyright © 2010 John Wiley & Sons, Ltd.

Suggested Citation

  • Jan Erik Askildsen & Tor Helge Holmås & Oddvar Kaarboe, 2011. "Monitoring prioritisation in the public health‐care sector by use of medical guidelines. The case of Norway," Health Economics, John Wiley & Sons, Ltd., vol. 20(8), pages 958-970, August.
    • Handle: RePEc:wly:hlthec:v:20:y:2011:i:8:p:958-970
    DOI: 10.1002/hec.1659
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    References listed on IDEAS

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    Cited by:

    1. Johansson, Kjell Arne & Nygaard, Elizabeth & Herlofsen, Berit & Lindemark, Frode, 2017. "Implementation of the 2013 amended Patients’ Rights Act in Norway: Clinical priority guidelines and access to specialised health care," Health Policy, Elsevier, vol. 121(4), pages 346-353.
    2. Oddvar Kaarboe & Fredrik Carlsen, 2014. "Waiting Times And Socioeconomic Status. Evidence From Norway," Health Economics, John Wiley & Sons, Ltd., vol. 23(1), pages 93-107, January.
    3. Callum Brindley & James Lomas & Luigi Siciliani, 2023. "The effect of hospital spending on waiting times," Health Economics, John Wiley & Sons, Ltd., vol. 32(11), pages 2427-2445, November.
    4. Breton, Mylaine & Smithman, Mélanie Ann & Kreindler, Sara A. & Jbilou, Jalila & Wong, Sabrina T. & Gard Marshall, Emily & Sasseville, Martin & Sutherland, Jason M. & Crooks, Valorie A. & Shaw, Jay & C, 2021. "Designing centralized waiting lists for attachment to a primary care provider: Considerations from a logic analysis," Evaluation and Program Planning, Elsevier, vol. 89(C).
    5. Breton, Mylaine & Smithman, Mélanie Ann & Sasseville, Martin & Kreindler, Sara A. & Sutherland, Jason M. & Beauséjour, Marie & Green, Michael & Marshall, Emily Gard & Jbilou, Jalila & Shaw, Jay & Brou, 2020. "How the design and implementation of centralized waiting lists influence their use and effect on access to healthcare - A realist review," Health Policy, Elsevier, vol. 124(8), pages 787-795.
    6. Stephanie Thomas, 2016. "A Standardized Method for the Evaluation of Adherence to Practice Guidelines," Department of Economics Working Papers 2016-14, McMaster University.
    7. Carlsen, Fredrik & Kaarboe, Oddvar Martin, 2015. "The relationship between educational attainment and waiting time among the elderly in Norway," Health Policy, Elsevier, vol. 119(11), pages 1450-1458.
    8. Gutacker, Nils & Siciliani, Luigi & Cookson, Richard, 2016. "Waiting time prioritisation: Evidence from England," Social Science & Medicine, Elsevier, vol. 159(C), pages 140-151.
    9. Williams, Jenny & Bretteville-Jensen, Anne Line, 2022. "What's Another Day? The Effects of Wait Time for Substance Abuse Treatment on Health-Care Utilization, Employment and Crime," IZA Discussion Papers 15083, Institute of Labor Economics (IZA).
    10. Januleviciute, Jurgita & Askildsen, Jan Erik & Kaarboe, Oddvar & Holmås, Tor Helge & Sutton, Matt, 2013. "The impact of different prioritisation policies on waiting times: Case studies of Norway and Scotland," Social Science & Medicine, Elsevier, vol. 97(C), pages 1-6.
    11. Nikolova, Silviya & Sinko, Arthur & Sutton, Matt, 2015. "Do maximum waiting times guarantees change clinical priorities for elective treatment? Evidence from Scotland," Journal of Health Economics, Elsevier, vol. 41(C), pages 72-88.

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