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

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

Health Policy, 2018, vol. 122, issue 2, 165-174

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.

Keywords: Waiting lists; Surgical procedures; Operative; Health services accessibility; Appointments and schedules; Referral and consultation; Implementation study; Health services research; Qualitative research; Health policy; Surgery; Management (search for similar items in EconPapers)
Date: 2018
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (4)

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Persistent link: https://EconPapers.repec.org/RePEc:eee:hepoli:v:122:y:2018:i:2:p:165-174

DOI: 10.1016/j.healthpol.2017.10.006

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