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Did waiting times really decrease following a service reorganization? Results from a retrospective study in a
Chantal Camden1, Bonnie Swaine, Mélanie Levasseur
1Centre de Réadaptation Estrie, Sherbrooke, Québec, Canada. chantal.camden@usherbrooke.ca
Disability and Rehabilitation
|August 18, 2012
Summary
Pediatric rehabilitation service reorganization successfully reduced waiting times for children. The study also observed a shift in service delivery, with an increase in group and other interventions over individual treatments.
Area of Science:
- Pediatric Rehabilitation
- Healthcare Service Delivery
- Healthcare Management
Background:
- Pediatric rehabilitation services often face challenges with long waiting times, impacting timely access to care.
- Service reorganization is a strategy employed to improve efficiency and patient outcomes in healthcare settings.
Purpose of the Study:
- To evaluate the impact of a pediatric rehabilitation service reorganization on waiting times.
- To analyze changes in the types of services provided post-reorganization.
- To compare waiting time data from administrative and medical records.
Main Methods:
- Defined waiting time as the period from referral to service access (program-specific and discipline-specific).
- Categorized services into individual, group, or other treatment types.
- Utilized ANOVAs, chi-squared tests, and paired t-tests to analyze changes and compare data sources.
Main Results:
- Following reorganization, program and occupational therapy waiting times decreased.
- A shift was observed from individual treatments to increased group and other intervention types.
- Program waiting times from administrative and medical records showed no significant difference, though data discrepancies indicated administrative issues.
Conclusions:
- Pediatric rehabilitation service reorganization can effectively reduce patient waiting times.
- Reorganization influences the types of services offered, potentially increasing group and other interventions.