Cargando…

Service redesign interventions to reduce waiting time for paediatric rehabilitation and therapy services: A systematic review of the literature

Despite well‐documented benefits of rehabilitation and therapy services for children with disabilities, long waiting lists to access these services are common. There is a growing body of evidence, primarily from mixed or adult services, demonstrating that waiting times can be reduced through strateg...

Descripción completa

Detalles Bibliográficos
Autores principales: Harding, Katherine E., Camden, Chantal, Lewis, Annie K., Perreault, Kadija, Taylor, Nicholas F.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10084082/
https://www.ncbi.nlm.nih.gov/pubmed/35716009
http://dx.doi.org/10.1111/hsc.13866
_version_ 1785021660460482560
author Harding, Katherine E.
Camden, Chantal
Lewis, Annie K.
Perreault, Kadija
Taylor, Nicholas F.
author_facet Harding, Katherine E.
Camden, Chantal
Lewis, Annie K.
Perreault, Kadija
Taylor, Nicholas F.
author_sort Harding, Katherine E.
collection PubMed
description Despite well‐documented benefits of rehabilitation and therapy services for children with disabilities, long waiting lists to access these services are common. There is a growing body of evidence, primarily from mixed or adult services, demonstrating that waiting times can be reduced through strategies that target wasteful processes and support services to keep up with demand. However, providers of rehabilitation and therapy services for children face additional complexities related to the long‐term nature of many developmental conditions and the need to consider timing of interventions with developmental milestones and education transition points. This review aimed to synthesise available evidence on service redesign strategies in reducing waiting time for paediatric therapy services. We conducted a systematic review of studies conducted in outpatient paediatric rehabilitation or therapy settings, including physical and mental health services, evaluating a service redesign intervention and presenting comparative data on time to access care. Two reviewers independently applied inclusion criteria, assessed risk of bias and extracted data. Findings were analysed descriptively and the certainty of evidence was synthesised according to criteria for health service research. From 1934 studies identified, 33 met the criteria for inclusion. Interventions were categorised as rapid response strategies, process efficiency interventions or substitution strategies (using alternative providers in place of medical specialists). Reductions in waiting time were reported in 30 studies. Evidence is limited by study designs with high risk of bias, but this is mitigated by consistency of findings and large effect sizes. There is moderate‐certainty evidence that service redesign strategies similar to those used in adult populations can be applied in paediatric rehabilitation and therapy settings to reduce waiting time.
format Online
Article
Text
id pubmed-10084082
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher John Wiley and Sons Inc.
record_format MEDLINE/PubMed
spelling pubmed-100840822023-04-11 Service redesign interventions to reduce waiting time for paediatric rehabilitation and therapy services: A systematic review of the literature Harding, Katherine E. Camden, Chantal Lewis, Annie K. Perreault, Kadija Taylor, Nicholas F. Health Soc Care Community Review Articles Despite well‐documented benefits of rehabilitation and therapy services for children with disabilities, long waiting lists to access these services are common. There is a growing body of evidence, primarily from mixed or adult services, demonstrating that waiting times can be reduced through strategies that target wasteful processes and support services to keep up with demand. However, providers of rehabilitation and therapy services for children face additional complexities related to the long‐term nature of many developmental conditions and the need to consider timing of interventions with developmental milestones and education transition points. This review aimed to synthesise available evidence on service redesign strategies in reducing waiting time for paediatric therapy services. We conducted a systematic review of studies conducted in outpatient paediatric rehabilitation or therapy settings, including physical and mental health services, evaluating a service redesign intervention and presenting comparative data on time to access care. Two reviewers independently applied inclusion criteria, assessed risk of bias and extracted data. Findings were analysed descriptively and the certainty of evidence was synthesised according to criteria for health service research. From 1934 studies identified, 33 met the criteria for inclusion. Interventions were categorised as rapid response strategies, process efficiency interventions or substitution strategies (using alternative providers in place of medical specialists). Reductions in waiting time were reported in 30 studies. Evidence is limited by study designs with high risk of bias, but this is mitigated by consistency of findings and large effect sizes. There is moderate‐certainty evidence that service redesign strategies similar to those used in adult populations can be applied in paediatric rehabilitation and therapy settings to reduce waiting time. John Wiley and Sons Inc. 2022-06-18 2022-11 /pmc/articles/PMC10084082/ /pubmed/35716009 http://dx.doi.org/10.1111/hsc.13866 Text en © 2022 The Authors. Health and Social Care in the Community published by John Wiley & Sons Ltd. https://creativecommons.org/licenses/by/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
spellingShingle Review Articles
Harding, Katherine E.
Camden, Chantal
Lewis, Annie K.
Perreault, Kadija
Taylor, Nicholas F.
Service redesign interventions to reduce waiting time for paediatric rehabilitation and therapy services: A systematic review of the literature
title Service redesign interventions to reduce waiting time for paediatric rehabilitation and therapy services: A systematic review of the literature
title_full Service redesign interventions to reduce waiting time for paediatric rehabilitation and therapy services: A systematic review of the literature
title_fullStr Service redesign interventions to reduce waiting time for paediatric rehabilitation and therapy services: A systematic review of the literature
title_full_unstemmed Service redesign interventions to reduce waiting time for paediatric rehabilitation and therapy services: A systematic review of the literature
title_short Service redesign interventions to reduce waiting time for paediatric rehabilitation and therapy services: A systematic review of the literature
title_sort service redesign interventions to reduce waiting time for paediatric rehabilitation and therapy services: a systematic review of the literature
topic Review Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10084082/
https://www.ncbi.nlm.nih.gov/pubmed/35716009
http://dx.doi.org/10.1111/hsc.13866
work_keys_str_mv AT hardingkatherinee serviceredesigninterventionstoreducewaitingtimeforpaediatricrehabilitationandtherapyservicesasystematicreviewoftheliterature
AT camdenchantal serviceredesigninterventionstoreducewaitingtimeforpaediatricrehabilitationandtherapyservicesasystematicreviewoftheliterature
AT lewisanniek serviceredesigninterventionstoreducewaitingtimeforpaediatricrehabilitationandtherapyservicesasystematicreviewoftheliterature
AT perreaultkadija serviceredesigninterventionstoreducewaitingtimeforpaediatricrehabilitationandtherapyservicesasystematicreviewoftheliterature
AT taylornicholasf serviceredesigninterventionstoreducewaitingtimeforpaediatricrehabilitationandtherapyservicesasystematicreviewoftheliterature