A process for prioritising patients for health services

Peer-reviewed article about an application of 1000minds:

P Hansen, A Hendry, R Naden, F Ombler & R Stewart (2012), “A new process for creating points systems for prioritizing patients for elective health services”, Clinical Governance: An International Journal 17, 200-9


Purpose: This paper aims to describe a new process for creating points systems – ie. decision criteria and their point values – for prioritizing 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 organizations 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-prioritization applications.

* Reproduced from the article.

See also

Processes for creating tools to prioritize patients

Patient prioritization articles

Health technology prioritization articles

Disease classification articles

News about health applications