title: SWOT analysis of a pediatric rehabilitation programme: a participatory evaluation fostering quality improvement.
abstract: OBJECTIVE
  To present the results of a strengths, weaknesses, opportunities and threats (SWOT) analysis used as part of a process aimed at reorganising services provided within a pediatric rehabilitation programme (PRP) in Quebec, Canada and to report the perceptions of the planning committee members regarding the usefulness of the SWOT in this process.
  
  
  METHODS
  Thirty-six service providers working in the PRP completed a SWOT questionnaire and reported what they felt worked and what did not work in the existing model of care. Their responses were used by a planning committee over a 12-month period to assist in the development of a new service delivery model. Committee members shared their thoughts about the usefulness of the SWOT.
  
  
  RESULTS
  Current programme strengths included favourable organisational climate and interdisciplinary work whereas weaknesses included lack of psychosocial support to families and long waiting times for children. Opportunities included working with community partners, whereas fear of losing professional autonomy with the new service model was a threat. The SWOT results helped the planning committee redefine the programme goals and make decisions to improve service coordination. SWOT analysis was deemed as a very useful tool to help guide service reorganisation.
  
  
  CONCLUSIONS
  SWOT analysis appears to be an interesting evaluation tool to promote awareness among service providers regarding the current functioning of a rehabilitation programme. It fosters their active participation in the reorganisation of a new service delivery model for pediatric rehabilitation.
authors.affiliation: Université de Montréal, Center of Interdisciplinary Rehabilitation Research and the Estrie Rehabilitation Center, Quebec, Canada. ccamden.cre@ssss.gouv.qc.ca
authors.forename: Chantal
authors.initials: C
authors.lastname: Camden
authors.forename: Bonnie
authors.initials: B
authors.lastname: Swaine
authors.forename: Sylvie
authors.initials: S
authors.lastname: Tétreault
authors.forename: Sophie
authors.initials: S
authors.lastname: Bergeron
mesh_terms: D002648:Child; D006801:Humans; D009788:Occupational Therapy; D019982:Organizational Case Studies; D009936:Organizational Innovation; D011785:Quality Assurance, Health Care; D012047:Rehabilitation Centers / Q000458:organization & administration*