SROI Project on the Surgical Waiting List Management System
Condition: Digestive System Disease
MeSH terms: Digestive System Diseases; Gastrointestinal Diseases
Study type: Observational [Patient Registry]

Summary: 
      The waiting lists for surgery and diagnostic tests registered in the health management area
      of Campo de Gibraltar West are very high, and this is compounded by the lack of resources
      that prevent them from being managed efficiently.

      The aim of the study is to know, quantify and communicate the measurement of the social
      impact, also known as social return on investment, which is presented as a tool for decision
      making on the intervention of the management of health concerts in comparison with the
      current system in Andalucia.

      In addition, other objectives will be studied, such as the health and non-health benefits
      derived from applying the intervention of the concerts compared to the current system of
      waiting list management from the economic, social and environmental points of view, the
      economic cost of the interventions by the health concerts and the Andalusian public health
      system, the cost of the increase in extraordinary health resources, determining the most
      prevalent surgeries from highest to lowest and specifying the highest number of surgeries
      that are established in the concerts and in the SSPA.

      The method used will be an economic evaluation of the different healthcare technologies in
      which the investigators compare the healthcare agreements of the most prevalent procedures
      and those that collect data in both groups through the SROI tool. A cross-sectional and
      prospective design will be carried out with a time horizon of 2021 and 2022, and for the
      statistical analysis the investigators will use the SSPS V25 and JASP programmes.

      The investigators consider it necessary to carry out this research study as there is no
      specific bibliography on the healthcare technology used in healthcare agreements as a new
      healthcare technology compared with the current system for managing surgical waiting lists in
      the Andalusian public healthcare system in terms of return on investment.
    

Detailed description: 
      The main objective of the study is to carry out a SROI (social return on investment) project
      as a decision-making tool for clinical and health management of waiting lists in Campo de
      Gibraltar.

      In addition, the investigators consider it necessary to carry out this research study as
      there is no specific bibliography on the healthcare want to achieve other more specific
      objectives such as:

        -  To know the economic cost of the interventions by the extraordinary health concert and
           the ordinary activity of the Andalusian Public Health System (APHS) of the surgical
           waiting list and diagnostic tests of certain surgical and functional procedures.

        -  To know the increase in extraordinary resources to reduce waiting lists in terms of
           human and material resources.

        -  To describe socio-demographic data and the prevalence of surgical interventions and
           diagnostic tests in the extraordinary agreement and the Andalusian Public Health System
           (APHS).

        -  To find out how the patient's life is affected in different areas.

        -  Specify the patient's willingness to pay to improve their quality of life.

        -  To determine the social return for each surgical procedure and functional test.

      The methodology of the study, a questionnaire will be carried out with the aim of analysing
      the effect that the waiting list for surgery and diagnostic tests has on the lives of the
      people who suffer from it, this questionnaire will include, among others, the following
      sections:

        -  Socio-demographic characteristics, employment situation and family environment.

        -  Type of procedures and pathology - Effect of the waiting list for surgery and diagnostic
           tests on different areas of the patient's life.

        -  Willingness to pay to improve aspects of their life affected since diagnosis.

        -  Use of health resources in the last year linked to the pathology.

      The number of visits that the patient will have to make will only be once, prior to their
      diagnostic or surgical procedure, to which they will be given the information sheet, informed
      consent and questionnaires.

      Extraordinary visits will not be made. The alternative procedures or treatments that may
      exist for the subject and their significant potential risks and benefits.

      The duration of the study will be 1 year, from April 2021 to March 2022. The number of
      participants will be the patients included in the surgical waiting list and diagnostic tests
      of the Hospital Punta de Europa located in the health management area Campo de Gibraltar West
      and referred to the centre "Clínica Virgen del Rosario".
    

Observational model: Other
Time perspective: Prospective
Sampling method: Probability Sample
Study population: 
        Patients on the waiting list for surgery and diagnostic tests at the Hospital Punta de
        Europa, located in the Campo de Gibraltar West health management area, and referred to the
        "Clínica Virgen del Rosario" centre.
      
Keywords: Social Return on Investment (SROI); Surgical waiting list; Health Concerts; Diagnostic tests; Surgical procedures