title: Public views on a wait time management initiative: a matter of communication.
abstract: BACKGROUND
  Many countries have tried to reduce waiting times for health care through formal wait time reduction strategies. Our paper describes views of members of the public about a wait time management initiative--the Ontario Wait Time Strategy (OWTS) (Canada). Scholars and governmental reports have advocated for increased public involvement in wait time management. We provide empirically derived recommendations for public engagement in a wait time management initiative.
  
  
  METHODS
  Two qualitative studies: 1) an analysis of all emails sent by the public to the (OWTS) email address; and 2) in-depth interviews with members of the Ontario public.
  
  
  RESULTS
  Email correspondents and interview participants supported the intent of the OWTS. However they wanted more information about the Strategy and its actions. Interview participants did not feel they were sufficiently made aware of the Strategy and email correspondents requested additional information beyond what was offered on the Strategy's website. Moreover, the email correspondents believed that some of the information that was provided on the Strategy's website and through the media was inaccurate, misleading, and even dishonest. Interview participants strongly supported public involvement in the OWTS priority setting.
  
  
  CONCLUSIONS
  Findings suggest the public wanted increased communication from and with the OWTS. Effective communication can facilitate successful public engagement, and in turn fair and legitimate priority setting. Based on the study's findings we developed concrete recommendations for improving public involvement in wait time management.
authors.affiliation: Joint Centre for Bioethics, University of Toronto, Toronto, Canada. rebecca.bruni@utoronto.ca
authors.forename: Rebecca A
authors.initials: RA
authors.lastname: Bruni
authors.forename: Andreas
authors.initials: A
authors.lastname: Laupacis
authors.forename: Wendy
authors.initials: W
authors.lastname: Levinson
authors.forename: Douglas K
authors.initials: DK
authors.lastname: Martin
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003142:Communication; D017598:Efficiency, Organizational; D034742:Electronic Mail; D005260:Female; D006297:Health Services Accessibility; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D008875:Middle Aged; D009864:Ontario; D011639:Public Opinion; D017748:Time Management; D014850:Waiting Lists; D055815:Young Adult