Journal of the American College of Radiology
Volume 7, Issue 8 , Pages 573-581 , August 2010

Improving Equitable Access to Imaging Under Universal-Access Medicine: The Ontario Wait Time Information Program and Its Impact on Hospital Policy and Process

  • Ania Z. Kielar, MD

      Affiliations

    • University of Ottawa, Department of Diagnostic Imaging, Ottawa, Ontario, Canada
    • Corresponding Author InformationCorresponding author and reprints: Ania Z. Kielar, MD, C1-Diagnostic Imaging, The Ottawa Hospital, Civic Campus, 1053 Carling Avenue, Ottawa, ON K1N 4E9, Canada
  • ,
  • Robert H. El-Maraghi, MD

      Affiliations

    • The Royal Victoria Hospital, Department of Oncology, Barrie, Ontario, Canada
  • ,
  • Mark E. Schweitzer, MD

      Affiliations

    • University of Ottawa, Department of Diagnostic Imaging, Ottawa, Ontario, Canada

References 

  1. Trypuc J, Hudson A, Glynn P. The Wait Time Strategy. http://www.health.gov.on.ca/transformation/wait_times/providers/strategy/wt_strat_overview.pdfAccessed June 22, 2010
  2. Organisation for Economic Co-operationDevelopment. Expensive health care is not always the best health care, says OECD's Health at a Glance. http://www.oecd.org/document/14/0,3343,en_2649_37407_44216846_1_1_1_1,00.htmlAccessed December 7, 2009
  3. Canadian Institute for Health Information. Medical imaging in Canada 2005. http://secure.cihi.ca/cihiweb/products/MedImag05e.pdfAccessed December 7, 2009
  4. Canadian Institute for Health Information. Health spending—health care in Canada. http://secure.cihi.ca/cihiweb/dispPage.jsp?cw_page=statistics_results_topic_macrospend_e&cw_topic=Health%20Spending&cw_subtopic=Macro%20SpendingAccessed November 28, 2009
  5. Keller A. MRI & CT Expert Panel: phase II report. http://www.health.gov.on.ca/transformation/wait_times/providers/reports/wt_mri_ct_rep_02_20061204.pdfAccessed December 7, 2009
  6. Ontario Ministry of HealthLong-Term Care. The Wait Time Strategy. http://www.health.gov.on.ca/transformation/wait_times/providers/wt_strategy.htmlAccessed December 7, 2009
  7. Ontario Ministry of HealthLong-Term Care. Wait times in Ontario. http://www.health.gov.on.ca/transformation/wait_times/providers/wt_pro_mn.htmlAccessed November 14, 2009
  8. Trypuc J, Macleod H, Hudson A. Developing a culture to sustain Ontario's Wait Time Strategy (invited essay). Health Care Papers. 2006;7:8–24
  9. Ontario Ministry of HealthLong-Term Care. Ontario best practice guidelines for managing the flow of patients requiring an MRI or CT examination. http://www.health.gov.on.ca/transformation/wait_times/providers/reports/mri_ct_bp_report_20090528.pdfAccessed December 7, 2009
  10. Levy G, Blachar A, Goldstein L, et al. Nonradiologist utilization of American College of Radiology Appropriateness Criteria in a preauthorization center for MRI requests: applicability and effects. AJR Am J Roentgenol. 2006;187:855–858
  11. Ontario Ministry of HealthLong-Term Care. MRI/CT Decision Support Tool for Referring Physicians. https://www.mrictdecisionsupporttool.ca/OEBI/IndicationSearch/Help_IntroductionAccessed December 7, 2009
  12. Canadian Association of Radiologists. Diagnostic imaging referral guidelines: a guide for physicians. http://www.car.ca/content.aspx?pg=Guidelines&spg=Stds_Guidelns&lang=E&lIDAccessed December 7, 2009
  13. Trypuc J, Hudson A. The Wait Time Strategy review of activities January-March 2009 update #14—April 15, 2009. http://www.health.gov.on.ca/transformation/wait_times/providers/reports/wt_update_20090416.pdfAccessed December 7, 2009
  14. Womack JP, Jones DT, Roos D. The machine that changed the world: how Japan's secret weapon in the global auto wars will revolutionize Western industry. New York: HarperCollins; 1991;
  15. Kramer S. Wait time information strategy for Ontario, April 2005. http://www.health.gov.on.ca/transformation/wait_times/providers/reports/im_strategy.pdfAccessed December 7, 2009
  16. Wait Time Alliance for Timely Access to Health Care. Home page http://www.waittimealliance.ca/index.htmAccessed February 20, 2010
  17. Yu JJ, Alter DA, Iron K, et al. Diagnostic services in Ontario: descriptive analysis and jurisdictional review. http://www.ices.on.ca/file/diagnostic_services_ontario_oct16.pdfAccessed June 15, 2010
  18. American College of Radiology. Practice guidelines & technical standards. http://www.acr.org/SecondaryMainMenuCategories/quality_safety/guidelines/dx.aspxAccessed December 7, 2009

PII: S1546-1440(10)00158-4

doi: 10.1016/j.jacr.2010.03.017

Journal of the American College of Radiology
Volume 7, Issue 8 , Pages 573-581 , August 2010