Elena Lopatina1, Zaheed Damani2, Eric Bohm3, Tom W Noseworthy4, Barbara Conner-Spady5, Gail MacKean6, Chris S Simpson7, Deborah A Marshall8. 1. Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, Health Research Innovation Centre (HRIC), 3C60, 3280 Hospital Drive NW, Calgary, AB T2N 4Z6, Canada. Electronic address: elopatin@ucalgary.ca. 2. Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, Teaching, Research and Wellness (TRW) building, 3rd floor, 3280 Hospital Drive NW, Calgary, AB T2N 4Z6, Canada. Electronic address: zdamani@ucalgary.ca. 3. Concordia Joint Replacement Group, University of Manitoba, 1155 Concordia Ave, Winnipeg, MB, R2K 4L5, Canada. Electronic address: EBOHM@cjrg.ca. 4. Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, Teaching, Research and Wellness (TRW) building, 3D14B, 3280 Hospital Drive NW, Calgary, AB T2N 4Z6, Canada. Electronic address: tnosewor@ucalgary.ca. 5. Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, Teaching, Research and Wellness (TRW) building, 3rd floor, 3280 Hospital Drive NW, Calgary, AB T2N 4Z6, Canada. Electronic address: bspady@telus.net. 6. Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, Teaching, Research and Wellness (TRW) building, 3rd floor, 3280 Hospital Drive NW, Calgary, AB T2N 4Z6, Canada. Electronic address: gail.mackean@gmail.com. 7. Division of Cardiology, Department of Medicine, Queen's University; and, Cardiac Programs, Kingston General Hospital and Hotel Dieu Hospital, 166 Brock Street, Kingston, ON, K7L 5G2, Canada. Electronic address: simpsonc@kgh.kari.net. 8. Department of Community Health Sciences, Cumming School of Medicine, University of Calgary; Alberta Bone & Joint Health Institute; and, McCaig Institute for Bone and Joint Health, Health Research Innovation Centre (HRIC), 3C58, 3280 Hospital Drive NW, Calgary, AB T2N 4Z6, Canada. Electronic address: damarsha@ucalgary.ca.
Abstract
BACKGROUND: Long waiting times for elective services continue to be a challenging issue. Single-entry models (SEMs) are used to increase access to and flow through the healthcare system. This paper provides a roadmap for healthcare decision-makers, managers, physicians, and researchers to guide implementation and management of successful and sustainable SEMs. METHODS: The roadmap was informed by an inductive qualitative synthesis of the findings from a deliberative process (a symposium on SEMs, with clinicians, researchers, senior policy-makers, healthcare managers, and patient representatives) and focus groups with the symposium participants. RESULTS: SEMs are a promising strategy to improve the management of referrals and represent one approach to reduce waiting times. The SEMs roadmap outlines current knowledge about SEMs and critical success factors for SEMs' implementation and management. CONCLUSIONS: This SEM roadmap is intended to help clinicians, decision-makers, managers, and researchers interested in developing new or strengthening existing SEMs. We consider this roadmap to be a living document that will continue to evolve as we learn more about implementing and managing sustainable SEMs.
BACKGROUND: Long waiting times for elective services continue to be a challenging issue. Single-entry models (SEMs) are used to increase access to and flow through the healthcare system. This paper provides a roadmap for healthcare decision-makers, managers, physicians, and researchers to guide implementation and management of successful and sustainable SEMs. METHODS: The roadmap was informed by an inductive qualitative synthesis of the findings from a deliberative process (a symposium on SEMs, with clinicians, researchers, senior policy-makers, healthcare managers, and patient representatives) and focus groups with the symposium participants. RESULTS: SEMs are a promising strategy to improve the management of referrals and represent one approach to reduce waiting times. The SEMs roadmap outlines current knowledge about SEMs and critical success factors for SEMs' implementation and management. CONCLUSIONS: This SEM roadmap is intended to help clinicians, decision-makers, managers, and researchers interested in developing new or strengthening existing SEMs. We consider this roadmap to be a living document that will continue to evolve as we learn more about implementing and managing sustainable SEMs.
Authors: Elena Lopatina; Jean L Miller; Sylvia R Teare; Nancy J Marlett; Jatin Patel; Claire E H Barber; Dianne P Mosher; Tracy Wasylak; Linda J Woodhouse; Deborah A Marshall Journal: Health Expect Date: 2018-12-05 Impact factor: 3.377
Authors: Anh Thu Vo; Yanqing Yi; Maria Mathews; James Valcour; Michelle Alexander; Marcel Billard Journal: BMC Health Serv Res Date: 2022-01-16 Impact factor: 2.655
Authors: Emily Gard Marshall; Mylaine Breton; Michael Green; Lynn Edwards; Caitlyn Ayn; Mélanie Ann Smithman; Shannon Ryan Carson; Rachelle Ashcroft; Imaan Bayoumi; Frederick Burge; Véronique Deslauriers; Beverley Lawson; Maria Mathews; Charmaine McPherson; Lauren R Moritz; Sue Nesto; David Stock; Sabrina T Wong; Melissa Andrew Journal: BMJ Open Date: 2022-03-07 Impact factor: 2.692