The relevance of surgical waiting list objectives in healthcare program contracts

e202510063

Abstract

This paper examines the significance of surgical waiting list objectives within healthcare program contracts from eight Spanish regional health services in 2024. Healthcare program contracts are strategic tools used to set clear objectives, measurable indicators, and efficient resource allocation between health authorities and care facilities. Common goals identified include reducing surgical waiting times, establishing maximum waiting periods, applying clinical prioritization criteria, and incorporating complementary indicators linked to surgical efficiency and demand refinement. However, the analysis identifies significant limitations, notably the limited use of postoperative outcome indicators and patient satisfaction metrics. The authors conclude by recommending the standardization of objectives and indicators across autonomous communities, systematic integration of pre- and postoperative quality evaluations, adequate financial planning, and enhancement of health information systems to promote transparency and efficiency in Spain’s National Health System.