Addressing pediatric wait times using the model of human performance technology.
BACKGROUND
When traditional approaches to waitlist management are unsuccessful, service managers and providers must consider alternatives.


OBJECTIVE
To describe how the model of human performance technology was used to address an extensive pediatric waitlist.


METHODS
Data were obtained from in-depth interviews with clinicians, educators, and parents and analyzed according to the model.


RESULTS
The need for a paradigm shift from a linear model of service delivery to a continuum of service was identified which could meet the unique needs of each child and family. Services include information, education, and supports, and all are grounded in principles of family-centred care.


CONCLUSIONS
The model of human performance technology provided a systematic approach with which to reveal the reason for extensive wait times for pediatric occupational therapy service. The model suggested a paradigm shift from a linear model of care to a continuum of care grounded in family-centred care. Implementation and evaluation of this new care model are ongoing.
Hoyt-Hallett
Gillian
G
Alberta Children's Hospital, Calgary, Canada. gillian.hoyt-hallett@albertahealthservices.ca
Beckers
Kim
K
Enman
Michael
M
Betuzzi
Conny
C
D006266:Health Education / Q000458:organization & administration; D006801:Humans; D008962:Models, Theoretical; D009788:Occupational Therapy / Q000458:organization & administration*; D010372:Pediatrics / Q000458:organization & administration*; D012017:Referral and Consultation / Q000458:organization & administration*; D014850:Waiting Lists; D016526:Workload