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Journal cover: Clinical Governance: An International Journal

Clinical Governance: An International Journal

ISSN: 1477-7274
Previously published as: British Journal of Clinical Governance

Online from: 2003

Subject Area: Health Care Management/Healthcare

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A new process for creating points systems for prioritising patients for elective health services

Document Information:
Title:A new process for creating points systems for prioritising patients for elective health services
Author(s):Paul Hansen, (Department of Economics, University of Otago, Dunedin, New Zealand), Alison Hendry, (Elective Services Programme, Ministry of Health, Auckland, New Zealand), Ray Naden, (Auckland City Hospital, Auckland, New Zealand), Franz Ombler, (1000Minds Ltd, Wellington, New Zealand), Ralph Stewart, (Department of Cardiology, University of Auckland and Green Lane Cardiovascular Service, Auckland, New Zealand)
Citation:Paul Hansen, Alison Hendry, Ray Naden, Franz Ombler, Ralph Stewart, (2012) "A new process for creating points systems for prioritising patients for elective health services", Clinical Governance: An International Journal, Vol. 17 Iss: 3, pp.200 - 209
Keywords:Conjoint analysis, Decision making, Elective health services, Health services, Multi-criteria decision-making, New Zealand, Patients, Points system, Prioritisation
Article type:Conceptual paper
DOI:10.1108/14777271211251318 (Permanent URL)
Publisher:Emerald Group Publishing Limited

Purpose – This paper aims to describe a new process for creating points systems – i.e. decision criteria and their point values – for prioritising patients for access to elective health services.

Design/methodology/approach – The process was developed in New Zealand from a project the authors were closely involved in, beginning in 2004, to create new points systems, initially for coronary artery bypass graft (CABG) surgery and then successively for other elective services. The objective was to overcome the limitations of earlier methodologies for creating points systems.

Findings – The process, supported by internet-based software, consists of seven steps performed by a working group of clinical leaders for the elective service concerned, in consultation with patient groups and other clinicians. The authors' experience reveals it is acceptable to clinicians and their professional organisations as well as to patient groups.

Originality/value – The process creates points systems that are valid and reproducible and based on a consensus of clinical judgements. The process is explained in a step-by-step manner so that it is possible for readers to apply it themselves to create points systems for their own patient-prioritisation applications.

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