Reducing wait times to surgery—an international review

Abstract

: This study aimed to describe approaches used in Canada and internationally, targeting wait times from the decision to treat to surgery (wait time 2). Access to optimal care at the right place and at the right time remains a top priority for patients, healthcare providers and policymakers. Interviews with key informants from 14 countries and a scoping review were conducted to identify approaches targeting wait times. During interviews, participants were asked about their experiences with different approaches in their jurisdictions. The scoping review adhered to published guidelines and captured both peer-reviewed and grey literature. Results were compiled into tables and synthesized based on a conceptual framework describing the main policy types for improving wait times. The study included 32 interviews, 92 peer-reviewed studies and 242 documents from the grey literature. Information spanned 17 countries across multiple surgical areas. In total, 33 approaches were identified, with the majority [24] targeting the supply-side. Fifteen approaches had consistent or limited but promising evidence supporting their effectiveness. Approaches can impact wait times 2 by targeting demand, supply or both. Successful strategies require the implementation of multiple approaches, collaborations and investments. This study may help organizations plan and implement policies intended to improve timely access to surgical care.