APRIL 30, 2005
VOLUMKE 2 NO. 8
 

Ontario's latest stab at solving the surgery queue problem

The new strategy seeks to deliver on a key election promise
— but will it work?


WTA of Canada
acceptable wait times:
  • Joint and hip replacement: patients should wait no more than three months for a consultation and six months for surgery
  • Cataract surgery: within four months for all patients
  • Cancer care: radiation therapy to begin in 10 working days
  • Cardiac care: non-urgent bypass surgery within six months
The Ontario Liberals are looking to live up to their election rhetoric with their new Wait Times Strategy. The strategy aims to monitor wait times across the province and implement medical and administrative 'best practice' standards that would assure across-the-board quality of care.

The first report commissioned for the strategy was released last week. Conducted by the Institute for Clinical Evaluative Sciences (ICES), the report gives a breakdown on how long patients have to wait for surgery in four key areas; cataract and cancer surgeries, cardiac care and hip and knee replacements.

"The data from this report sets up a baseline," says Dr Jack Tu, senior scientist with ICES and one of the editors of the report. "It will help the provincial government measure their performance as they launch the Wait Time Strategy."

How does Ontario measure up? "If you look at cardiac care we are doing pretty good," says Dr Tu, "but the four month wait for cataract surgery isn't in the best interest of patients." He adds that there is still some room to improve. ICES has outlined 14 recommendations to improve patient access to procedures — four funding and 10 management goals. This report is the first of many the ICES will be doing for the Wait Times Strategy.

FEDS FOLLOW SUIT
On the national level seven medical organizations — the Canadian Medical Association, the Canadian Association of Radiologists, the Canadian Association of Nuclear Medicine, the Canadian Association of Radiation Oncologists, the Canadian Cardiovascular Society, the Canadian Ophthalmological Society, and the Canadian Orthopaedic Association — have united under the banner of the Wait Times Alliance (WTA)

The WTA says only with cooperation between the feds, the provinces and territories can we hope to cut down on the length of time patients are waiting for their procedures. To date they have released "acceptable wait times" and will issue a full report this summer.

For more on ICES' recommendations visit www.ices.on.ca

 

 

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