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inShare0Embed Doc Copy Link Readcast Collections CommentsGo Back Download Health PolicyStudies inKey ConclusionsSpecialist physicians surveyed across 12 specialties and 10 Canadian prov-inces report a total waiting time of 19.0 weeks between referral from ageneral practitioner and elective treatment in 2011the longest total waittime recorded since the Fraser Institute began measuring wait times in 1993.Patients in Ontario experience the shortest wait (14.3 weeks) followed byBritish Columbia (19.3 weeks), and Quebec (19.9 weeks)Patients wait longest to undergo plastic surgery (41.6 weeks) and waitleast for medical oncology treatment (4.2 weeks)After an appointment with a specialist, Canadians

wait nearly 3 weekslonger than what physicians believe is reasonable for elective treatment. Throughout the provinces, in 2011 people are waiting for an estimated941,321 procedures. Assuming that each person waits for only oneprocedure, 2.8 percent of Canadians are waiting for treatmentOnly 9.4 percent of patients are on waiting lists because they requesteda delay or postponementWaiting Your TurnWait Times for Health Care in Canada2011 report by Bacchus Barua, Mark Rovere, and Brett J. Skinner December 2011 Studies inHealth Care PolicyDecember 2011Waiting Your TurnWait Times for Health Carein Canada2011 Report by Bacchus Barua, Mark Rovereand Brett J. Skinner Fraser Insti tute4www.fraserinstitute.orgPrcisThis edition of Wait ing Your Turnindicates that wait ing times for elective medical treatment have increased since last year. Spe cialist phy sicians sur veyed across 12 spe- cialties and 10 Ca nadian prov inces report a total wait ing time of 19.0 weeks between referral from a gen eral practitioner and receipt of elective treatment. At 104 percent longer than it was in 1993, this is the longest total wait time recorded since the Fra ser Institute began measuring wait times in Canada. Wait times between 2010 and 2011 increased in both the segment between refer-ral by a general practitio ner to consultation with a specialist (rising to 9.5 weeks from 8.9 weeks in 2010), and the seg ment between a consultation with a specialist and receipt of treatment (rising to 9.5 weeks from 9.3 weeks in 2010). In fact, phy sicians themselves believe that Canadi ans wait nearly 3 weeks longer than what they consider is clinically reasonable for elective treatment after an appointment with a spe cialist. There is, how ever, a great deal of variation in the total waiting time faced by patients across the prov inces. While Ontario reports the short est total wait in 2011(14.3 weeks); Prince Edward Island reports the lon gest at 43.9 weeks. The same is trueof variations among specialties. Patients wait longest between a GP referral and plastic surgery (41.6 weeks), while those waiting for medical oncology begin treat ment in 4.2 weeks.It is estimated that, across all 10 prov inces, in 2011 people are waiting for an esti- mated 941,321 procedures. This means that, assuming that each person waits for only one procedure, 2.8 percent of Canadians are waiting for treat ment. Importantly, phy sicians report that only about 9.4 percent of their patients are on a waiting list because they requested a delay or postponement. The results of this years sur vey indicate that despite high lev els of health expen- diture and pro vincial wait time strat egies, it is clear that patients in Canada are waiting too long to receive treatment. ContentsPrcis4iiAcknowledgements45Find ings46Method414Verification of data 416Change in estimation methodology for Alberta and Quebec426Conclusion427Selected graphs428Selected data tables437Appendix A: Links to wait times datapublished by provin cial govern ment agen cies 471Appendix B: National psychiatry waiting list survey 473Appendix C: Waiting Your Turn survey questionnaire 481Ref erences483About the authors485Publishing information487Supporting the Fraser Institute 488Pur pose, fund ing, and inde pendence489About the Fraser Institute489Editorial Advisory Board491Fraser Insti tute4www.fraserinstitute.org AcknowledgmentsThis edi tion of Wait ing Your Turn: Wait Times for Health Care in Can adadraws ex-ten sively on pre vious edi tions. As such, the authors would like to pay spe cial tribute and thanks to:Michael Walker , who is responsible for helping nav igate the beginnings of wait time measurement in Canada, and has authored or co-authored the report for almost two

decades, andNadeem Esmail, who, apart from adding sig nif icantly to the refinement and accuracy of the report, and authoring or co-authoring the report for almost a decade,also pro vided extensive assistance and guid ance in the production of this par ticular edition of Wait ing Your Turn.We are also pleased to acknowledge the impor tant contributions of Ste venGloberman,Maureen Hazel,Joanna Miyake,Cynthia Ramsay ,Greg Wilson, andMartin Zelderin completing earlier versions of the sur vey and in building the base of knowl edge that is incorporated into this publication. Data-entry for this par ticular edi tion of Waiting Your Turn was com pleted with the assistance of Hillson Tse.Fraser Insti tute4www.fraserinstitute.orgWaiting Your Turn: Wait Times for Health Care in Canada, 2011 Report 45 FindingsTotal wait timesThe Fraser Institutes twenty-first annual waiting list sur vey finds that prov ince-wide wait times1for surgical and other therapeutic treatments have increased in 2011. The total wait ing time between re ferral from a general practi tioner and deliv ery of elec tive treatment by a specialist, av eraged across all 12 specialties and 10 prov inces sur veyed, has risen from 18.2 weeks in 2010 to 19.0 weeks in 2011. Compared to 1993, the totalwaiting time in 2011 is 104 percent lon ger.This nation wide dete rioration in access reflects waiting-time increases in six prov inces, while concealing decreases in Alberta, New Bruns wick, Prince Edward Island, and New found land & Labrador. Fraser Insti tute4www.fraserinstitute.org64Waiting Your Turn: Wait Times for Health Care in Canada, 2011 Report Chart 1: Median Wait by Prov ince in 2011Weeks Waited from Refer ral by GP to Treat ment Source: The Fraser Institutes national waiting list sur vey, 2011. Totals may not equal the sum of subtotals due to rounding.1For a further explanation of how Wait ing Your Turnmeasures wait times, see the Method sec tion.9.511.531.613.316.610.77.27.59.910.79.79.511.412.315.710.99.27.117.519.010. 49.619.022.843.929.027.519.914.325.029.021.119.30 10 20 30 40 50CANNLPENSNBQCONMBSK ABBCWeeks waited Wait from specialistto treatmentWait from GP tospecialist Ontario reports the shortest total wait in 2011 (14.3 weeks), followed by British Columbia (19.3 weeks), and Quebec (19.9 weeks). Prince Edward Island has the lon- gest total wait at 43.9 weeks, followed by Nova Sco tia and Saskatch ewan (29.0 weeks each) (see table 2 and chart 1).Wait time by segment Total wait time can be examined in two con secutive segments: 1.The first segment occurs from referral by a general practi tioner to con sultation with a specialist.2.The second segment occurs from the con sultation with a special ist to the point at which the patient receives treatment. The rise in wait ing time between 2010 and 2011 results from an increase in bothsegments.Fraser Insti tute4www.fraserinstitute.orgWaiting Your Turn: Wait Times for Health Care in Canada, 2011 Report 47 Chart 2: Waiting By Province in 2010 and 2011Weeks Waited from Referral by GP to Appointment with Specialist Source: The Fraser Institutes national waiting list sur vey, 2011. 9.511.531.613.316.610.77.27.59.910.79.78.914.722.013.024.68.97.88.66.79.98.20 5 10 15 20 25 30 35CANNLPENSNBQCONMBSK ABBC20102011Weeks waited The wait ing time in the first segment, from referral by a general practitioner to consultation with a spe cialist, has risen from 8.9 weeks in 2010 to 9.5 weeks in 2011. This wait time is now 156 percent longer than in 1993 when it was 3.7 weeks (seegraphs 1 and 2). The waiting time to see a specialist has

increased in six prov inces since 2010, but has fallen in Manitoba, Ontario, New Brunswick, and New foundland & Lab- rador (see chart 2). The shortest waits for specialist con sultations are in Ontario (7.2 weeks), Manitoba (7.5 weeks), and British Columbia (9.7 weeks). The longest waits for specialist consultations occur in Prince Edward Island (31.6 weeks), New Brunswick (16.6 weeks), and Nova Scotia (13.3 weeks) (see table 3).The wait ing time in the sec ond seg ment, from con sultation with a specialist to the point at which the patient receives treatment, has risen from 9.3 weeks in 2010 to9.5 weeks in 2011. This portion of waiting is 70 percent lon ger than in 1993 when it was 5.6 weeks (see graphs 3 and 4). Inter estingly, wait ing times from specialist con sul- tation to treatment have decreased in six prov inces, rising only in Manitoba, Ontario, New Brunswick, and Nova Scotia (see table 6 and chart 3). The shortest specialist-to- treatment waits are found in Ontario (7.1 weeks), Quebec (9.2 weeks), and British Fraser Insti tute4www.fraserinstitute.org84Waiting Your Turn: Wait Times for Health Care in Canada, 2011 Report Chart 3: Waiting by Province in 2010 and 2011Weeks Waited from Appointment with Specialist to Treatment, by ProvinceSource: The Fraser Institutes national waiting list sur vey, 2011. 9.511.412.315.710.99.27.117.519.010.49.69.314.422.415.59.09.96.28.919.712.210.60 5 10 15 20 25CANNLPENSNBQCONMBSK ABBC20102011Weeks waited of 91 Leave a Comment Comment must not be empty. SubmitCharacters: 400 Comment must not be empty. SubmitCharacters: ...Waiting Your Turn 2011: Fraser Institute Download or Print 209 ReadsInfo and Rating Category:Uncategorized. Rating: Upload Date:12/12/2011 Copyright:Attribution Non-commercial Tags:This document has no tags. Flag document for inapproriate content This is a private document. Uploaded by winnipegsun DownloadEmbed DocCopy LinkAdd To CollectionCommentsReadcastShare Share on Scribd: Readcast SearchTIP Press Ctrl-F F to quickly search anywhere in the document. SearchSearch History: Searching... Result 00 of 0000 results for result for p. More from This UserRelated Documents More From This User 25 p.Wps Marathon Results1 p.Jets Replay March 31 20121 p.Sentence Statement by

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