Improving the quality of care with a single-entry model of referral for total joint replacement: a preimplementation/postimplementation evaluation.

ABSTRACT:

Objectives

We assessed: (1) waiting time variation among surgeons; (2) proportion of patients receiving surgery within benchmark and (3) influence of the Winnipeg Central Intake Service (WCIS) across five dimensions of quality: accessibility, acceptability, appropriateness, effectiveness, safety.

Design

Preimplementation/postimplementation cross-sectional design comparing historical (n=2282) and prospective (n=2397) cohorts.

Setting

Regional, provincial health authority.

Participants

Patients awaiting total joint replacement of the hip or knee.

Interventions

The WCIS is a single-entry model (SEM) to improve access to total hip replacement (THR) or total knee replacement (TKR) surgery, implemented to minimise variation in total waiting time (TW) across or

SUBMITTER: Damani Z 

PROVIDER: S-EPMC7008436 | biostudies-literature | 2019 Dec

REPOSITORIES: biostudies-literature