Centre de Réadaptation Estrie, Sherbrooke, Québec, Canada.
Disabil Rehabil. 2013 May;35(9):719-24. doi: 10.3109/09638288.2012.705948. Epub 2012 Aug 16.
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.
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.
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.
Service reorganization can decrease waiting times and change the type of services offered over time.
研究小儿康复服务重组（包括新的入院程序）前后，服务等待时间和服务类型的变化；比较项目管理数据库和儿童病历中可用的等待时间数据。
等待时间定义为从转介到接受项目中任何临床医生（项目等待时间）或任何特定学科临床医生（特定学科等待时间）提供的服务之间的时间间隔。服务分为个体治疗、小组治疗或其他治疗。采用方差分析和卡方检验分别检验等待时间和服务类型的变化。配对 T 检验比较两个数据库中的项目等待时间。
共收集了 188 名儿童（平均年龄：4 岁 1 个月）的数据。服务重组后，项目和职业治疗的等待时间缩短了。对于两个学科，接受个体治疗的儿童比例随时间减少，而小组和其他类型的干预措施增加。使用两个数据源计算的项目等待时间没有显著差异，但可用数据的差异突出了行政问题。
服务重组可以减少等待时间，并随着时间的推移改变提供的服务类型。
