Background: Effective waiting list management and comprehensive prioritisation can provide timely delivery of
appropriate services to ensure that the patient needs are met and increase equity in the provision of health
services. We developed a prioritisation framework for patients in need of coronary artery angiography (CAA).
Methods: We used a multi-methods approach to elicit effective factors that affect CAA patient prioritisation.
Qualitative data wase collected using semi-structured interviews with 15 experts. The final set of factors was
selected using experts’ consensus through modifed Delphi technique. The framework was finalised during expert
panel meetings.
Results: 212 effective factors were identified based on the literature review, interviews, and expert panel discussion
of them, 37 factors were selected for modifed Delphi study. Following two rounds of Delphi discussions, seven final
factors were selected and weighed by ten experts using pair-wise comparisons. The following weights were given:
the severity of pain and symptoms (0.22), stress testing (0.18), background diseases (0.15), number of myocardial
infarctions (0.15), waiting time (0.10), reduction of economic and social performance (0.12), and special conditions
(0.08).
Conclusion: Clinical effective factors were important for CAA prioritisation framework. Using this framework can
potentially lead to improved accountability and justice in the health system
