Hi there,
I checked some facts about Germany, Japan, Canada/Quebec that are not trivial to understand when I try to understand differing waiting times and communication with hospitals/clinics in those countries when it comes to prevention (or "non-urgent patients"):
According to sources like this on data.worldbank.org, some seemingly relevant basic facts:
Japan and Quebec have roughly the same coverage of doctors (2.4 doctors per 1000 citizens) and similar individual health care payments to fund the public health system relative to the countries' GDP (e.g. Japan 11% of GDP; QC 12.5% of GDP).
It seems that roughly saying in Canada wait times at least for preventive measures are quite long.
Q: Are there studies that break down major factors or known issues concerning waiting times and availability of consultants and surgery (staff / teams) into anything that improves their availability and efficiency?
...i.e. studies that explain inefficiencies or best practices in communication, administration, staffing, staff motivation, etc. that could or do explain effective differences in countries' surgery waiting times.
What I'd expect - not sure since I'm still (re)searching - are comparisons between Canada/QC and other countries (where applicable and "fair") with possible factors being:
Ideal numbers of staffing (consultant/surgery specialists AND all surgery assisting roles) relative to number of patients (or per citizen), administration & communication, motivation (work hours, salary, workplace culture/morale, etc.), and a few other key factors regarding a mix of private and public hospitals/clinics (like Germany's combination 30% public and 70% private hospitals).
Just FYI, rough information for more context:
Facts or estimates I gather from my own experience, articles, and personal posts:
In Japan waiting times for a specialist consultation and even preventive surgery (dermatology & preventive surgery, mammography & breast biopsy, colonoscopy & removal of polyps, etc.) are around a few days, at least an appointment and treatment/surgery all within roughly one week or two.
In Germany waiting times for preventive measures are a bit longer than Japan in some cases, but still within a few months at most. Germans actually pay a bit more relative to their GDP. 70% of hospitals are private, still mainly covered by the public system and, I think, integrated into the public network (centralized databases, common referrals between public and private doctors, etc.) ... which is a bit odd: the German system is in some places a tad less efficient than in Japan, still very good.
In Quebec waiting times for consultation in those areas can be up to roughly 2 months to 1 year, and for a following preventive surgery around another 5 months to 3 years (highly depends on the field and what your actual hospital/clinic is).
About Canada in general I only sampled a few scattered numbers, for example Ontario seems to have similar preventive consultation/surgery (and ER) waiting times compared to Quebec. And Quebec is even one of the states doing better in Canada, at least in some areas of health care and prevention.
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