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Addressing pediatric wait times using the model of human performance technology
Gillian Hoyt-Hallett1, Kim Beckers, Michael Enman
1Alberta Children's Hospital, Calgary, Canada. gillian.hoyt-hallett@albertahealthservices.ca
Insights
Human performance technology addressed pediatric waitlists by shifting from linear care to a family-centered continuum. This approach identified key factors contributing to extensive wait times for pediatric occupational therapy services.
Area of Science:
- Human Performance Technology
- Pediatric Occupational Therapy
- Healthcare Service Delivery Models
Background:
- Traditional waitlist management strategies often prove insufficient for healthcare services.
- Alternative approaches are necessary when standard methods fail to meet demand.
Purpose of the Study:
- To apply the Human Performance Technology (HPT) model to resolve significant pediatric waitlist issues.
- To analyze the effectiveness of HPT in optimizing pediatric healthcare access.
Main Methods:
- Conducted in-depth interviews with key stakeholders, including clinicians, educators, and parents.
- Analyzed qualitative data through the framework of the Human Performance Technology model.
Main Results:
- Identified the necessity for a paradigm shift from linear service delivery to a continuum of care.
- The continuum model accommodates diverse child and family needs, incorporating information, education, and support.
- Emphasized the integration of family-centered care principles throughout the service continuum.
Conclusions:
- The HPT model systematically uncovered the root causes of prolonged pediatric occupational therapy wait times.
- A transition from a linear care model to a continuum of care, rooted in family-centered principles, was recommended.
- Ongoing implementation and evaluation of the proposed continuum of care model are underway.
Background:
When traditional approaches to waitlist management are unsuccessful, service managers and providers must consider alternatives.
Purpose:
To describe how the model of human performance technology was used to address an extensive pediatric waitlist.
Methods:
Data were obtained from in-depth interviews with clinicians, educators, and parents and analyzed according to the model.
Findings:
The need for a paradigm shift from a linear model of service delivery to a continuum of service was identified which could meet the unique needs of each child and family. Services include information, education, and supports, and all are grounded in principles of family-centred care.
Implications:
The model of human performance technology provided a systematic approach with which to reveal the reason for extensive wait times for pediatric occupational therapy service. The model suggested a paradigm shift from a linear model of care to a continuum of care grounded in family-centred care. Implementation and evaluation of this new care model are ongoing.
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