Did waiting times really decrease following a service reorganization? Results from a retrospective study in a pediatric rehabilitation program in Québec.
OBJECTIVE
To examine changes in waiting times and types of services received before, during and after a pediatric rehabilitation service reorganization including new admission procedures; To compare waiting time data available in the program's administrative database and children's medical files.


METHODS
Waiting time was defined as the time elapsed between referral and accessing a service provided by any clinician in the program (program waiting time) or by any clinician within a discipline (discipline-specific waiting time). Services were categorized as individual, group treatment, or other. ANOVAs and χ(2) tests were used to examine changes in waiting times and type of services, respectively. Paired T-tests compared the program waiting times from the two databases.


RESULTS
Data were collected on 188 children (mean age: 4 years and 1 month). The program and occupational therapy waiting times were shorter following the service reorganization. For two disciplines, the proportion of children receiving individual treatment diminished over time, while group and other types of interventions increased. Program waiting times calculated using the two data sources did not differ significantly but differences in the available data highlighted administrative issues.


CONCLUSIONS
Service reorganization can decrease waiting times and change the type of services offered over time.
Centre de Réadaptation Estrie, Sherbrooke, Québec, Canada. chantal.camden@usherbrooke.ca
Chantal
C
Camden
Bonnie
B
Swaine
Mélanie
M
Levasseur
D002662:Child Health Services / Q000379:methods / Q000458:organization & administration*; D002675:Child, Preschool; D003695:Delivery of Health Care / Q000379:methods / Q000458:organization & administration*; D019988:Children with Disabilities / Q000534:rehabilitation*; D005260:Female; D006297:Health Services Accessibility / Q000458:organization & administration* / Q000706:statistics & numerical data; D006302:Health Services Research; D006801:Humans; D008297:Male; D009788:Occupational Therapy / Q000706:statistics & numerical data; D010372:Pediatrics; D015397:Program Evaluation; D011787:Quality of Health Care; D011788:Quality of Life; D011792:Quebec; D012017:Referral and Consultation / Q000706:statistics & numerical data; D012047:Rehabilitation Centers / Q000458:organization & administration* / Q000706:statistics & numerical data; D012189:Retrospective Studies; D013997:Time Factors; D014850:Waiting Lists