Access to publicly funded outpatient physiotherapy services in Quebec: waiting lists and management strategies
| Autor: | Kadija Perreault, Marie-Hélène Raymond, François Desmeules, Debbie Ehrmann Feldman, Simon Deslauriers, Maude Laliberté, Amélie Lavoie |
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| Rok vydání: | 2016 |
| Předmět: |
Prioritization
Waiting time medicine.medical_specialty Multivariate analysis Referral Waiting Lists Cross-sectional study Health Services Accessibility 03 medical and health sciences 0302 clinical medicine Ambulatory care Ambulatory Care Medicine Humans 030212 general & internal medicine Musculoskeletal Diseases Physical Therapy Modalities business.industry Rehabilitation Attendance Quebec Cross-Sectional Studies Physical therapy business 030217 neurology & neurosurgery Healthcare system |
| Zdroj: | Disability and rehabilitation. 39(26) |
| ISSN: | 1464-5165 |
| Popis: | Problems with access to outpatient physiotherapy services have been reported in publicly funded healthcare systems worldwide. A few studies have reported management strategies aimed at reducing extensive waiting lists, but their association with waiting times is not fully understood. The purpose of this study was to document access to public outpatient physiotherapy services for persons with musculoskeletal disorders in hospitals and explore organizational factors associated with waiting time.We surveyed outpatient physiotherapy services in publicly funded hospitals in the province of Quebec (Canada).A total of 97 sites responded (99%) to the survey. The median waiting time was more than six months for 41% of outpatient physiotherapy services. The waiting time management strategies most frequently used were attendance and cancelation policies (99.0%) and referral prioritization (95.9%). Based on multivariate analyses, the use of a prioritization process with an initial evaluation and intervention was associated with shorter waiting times (p = 0.008).Our findings provide evidence that a large number of persons wait a long time for publicly funded physiotherapy services in Quebec. Based on our results, implementation of a prioritization process with an initial evaluation and intervention could help improve timely access to outpatient physiotherapy services. Implications for Rehabilitation Access to publicly funded outpatient physiotherapy services is limited by long waiting times in a great proportion of Quebec's hospitals. The use of a specific prioritization process that combines an evaluation and an intervention could possibly help improve timely access to services. Policy-makers, managers, and other stakeholders should work together to address the issue of limited access to publicly funded outpatient physiotherapy services. |
| Databáze: | OpenAIRE |
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