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Pooled Referral Systems for the Management of Surgical Patient Flow: Review of Clinical Effectiveness, Cost-Effectiveness, and Guidelines

Last updated: October 28, 2015
Project Number: RC0717-000
Product Line: Rapid Response
Research Type: Devices and Systems
Report Type: Summary with Critical Appraisal
Result type: Report

Question

  1. What is the clinical effectiveness of pooled referral systems for the management of surgical patient flow?
  2. What is the cost-effectiveness of pooled referral systems for the management of surgical patient flow?
  3. What are the evidence-based guidelines regarding the use and implementation of pooled referral systems for the management of surgical patient flow?

Key Message

One systematic review reported that there was insufficient evidence to draw any conclusions on the impact of introducing a generic wait list and pooling initial outpatient appointments and dates for routine spinal surgery on the number of patients waiting less than a recommended time threshold or within a recommended time period. No cost-effectiveness evidence or guidelines for the use and implementation of pooled referral systems for the management of surgical patients was identified.