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Insights from the design and implementation of a single-entry model of referral for total joint replacement surgery: Critical success factors and unanticipated consequences

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  • Damani, Zaheed
  • MacKean, Gail
  • Bohm, Eric
  • Noseworthy, Tom
  • Wang, Jenney Meng Han
  • DeMone, Brie
  • Wright, Brock
  • Marshall, Deborah A.

Abstract

Single-entry models (SEMs) in healthcare allow patients to see the next-available provider and have been shown to improve waiting times, access and patient flow for preference-sensitive, scheduled services. The Winnipeg Central Intake Service (WCIS) for hip and knee replacement surgery was implemented to improve access in the Winnipeg Regional Health Authority. This paper describes the system’s design/implementation; successes, challenges, and unanticipated consequences.

Suggested Citation

  • Damani, Zaheed & MacKean, Gail & Bohm, Eric & Noseworthy, Tom & Wang, Jenney Meng Han & DeMone, Brie & Wright, Brock & Marshall, Deborah A., 2018. "Insights from the design and implementation of a single-entry model of referral for total joint replacement surgery: Critical success factors and unanticipated consequences," Health Policy, Elsevier, vol. 122(2), pages 165-174.
    • Handle: RePEc:eee:hepoli:v:122:y:2018:i:2:p:165-174
    DOI: 10.1016/j.healthpol.2017.10.006
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    References listed on IDEAS

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    1. Jeremy Hurst & Luigi Siciliani, 2003. "Tackling Excessive Waiting Times for Elective Surgery: A Comparison of Policies in Twelve OECD Countries," OECD Health Working Papers 6, OECD Publishing.
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    Cited by:

    1. Guo, Michael Y. & Crump, R. Trafford & Karimuddin, Ahmer A & Liu, Guiping & Bair, Matthew J. & Sutherland, Jason M., 2022. "Prioritization and surgical wait lists: A cross-sectional survey of patient's health-related quality of life," Health Policy, Elsevier, vol. 126(2), pages 99-105.
    2. Anton Isaacs & Alistair Bonsey & Danielle Couch, 2023. "Centralized Intake Models and Recommendations for Their Use in Non-Acute Mental Health Services: A Scoping Review," IJERPH, MDPI, vol. 20(9), pages 1-15, May.
    3. Breton, Mylaine & Smithman, Mélanie Ann & Kreindler, Sara A. & Jbilou, Jalila & Wong, Sabrina T. & Gard Marshall, Emily & Sasseville, Martin & Sutherland, Jason M. & Crooks, Valorie A. & Shaw, Jay & C, 2021. "Designing centralized waiting lists for attachment to a primary care provider: Considerations from a logic analysis," Evaluation and Program Planning, Elsevier, vol. 89(C).

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