Passalent Laura A, Landry Michel D, Cott Cheryl A
Physiotherapist Practitioner, University Health Network.
Healthc Policy. 2010 May;5(4):e139-56.
Timely access to publicly funded health services is a priority issue across the healthcare continuum in Canada. The purpose of this study was to examine wait list management strategies for publicly funded ambulatory rehabilitation services in Ontario, Canada.
Ambulatory rehabilitation services were defined as community occupational therapy (OT) and physiotherapy (PT) services. A mailed self-administered questionnaire was sent to all 374 Ontario publicly funded sites. Descriptive statistics were used to explore management strategies.
The response rate was 57.2%. Client acuity was the most common method used to prioritize access across all settings. The most frequently reported methods to manage wait lists included teaching self-management strategies (85.0%), implementing attendance policies (69.5%) and conducting wait list audits (67.3%).
Ambulatory rehabilitation settings have implemented a number of strategies for wait list management. The results of this study suggest that an increasing number of Ontarians encounter barriers when accessing publicly funded ambulatory rehabilitation services.
在加拿大的整个医疗保健连续过程中，及时获得公共资助的医疗服务是一个优先问题。本研究的目的是探讨加拿大安大略省公共资助的门诊康复服务的等候名单管理策略。
门诊康复服务被定义为社区职业治疗（OT）和物理治疗（PT）服务。向安大略省所有374个公共资助机构发送了一份邮寄的自填式问卷。描述性统计用于探索管理策略。
回复率为57.2%。患者 acuity 是在所有机构中用于确定优先获得服务顺序的最常见方法。最常报告的管理等候名单的方法包括教授自我管理策略（85.0%）、实施出勤政策（69.5%）和进行等候名单审核（67.3%）。
门诊康复机构已经实施了一些等候名单管理策略。本研究结果表明，越来越多的安大略人在获得公共资助的门诊康复服务时遇到障碍。
