title: Addressing pediatric wait times using the model of human performance technology.
abstract: 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.
authors.affiliation: Alberta Children's Hospital, Calgary, Canada. gillian.hoyt-hallett@albertahealthservices.ca
authors.forename: Gillian
authors.initials: G
authors.lastname: Hoyt-Hallett
authors.forename: Kim
authors.initials: K
authors.lastname: Beckers
authors.forename: Michael
authors.initials: M
authors.lastname: Enman
authors.forename: Conny
authors.initials: C
authors.lastname: Betuzzi
mesh_terms: 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