Enabling policy action using scenario simulation in procedures with guarantees of maximum time to surgery Facilitando la toma de decisiones mediante simulación de escenarios en procedimientos con garantías de tiempos máximos de espera

Abstract

Objective: Facilitate policy action using scenario simulation of waiting list situations for each of the surgical procedures in order to establish guarantees of maximum waiting times for surgery. Method: Using the conceptual framework of queuing theory, management indicators can be defined based on a finite set of parameters, among which are the maximum waiting time guarantee until surgery and the probability of non-fulfillment of the guarantee. These scenarios can be configured on the basis of information from the scientific literature or expert consensus. Results: The tool developed allows the configuration of waiting list situation scenarios based on a proposed dashboard for monitoring and management. Conclusions: This scenario-building tool facilitates informed discussions among health authorities and providers to set realistic goals, improve adequacy in surgery indication and decide on capacity adjustments.