TY - JOUR
T1 - Wait time management strategies for scheduled care
T2 - What makes them succeed?
AU - Pomey, Marie Pascale
AU - Forest, Pierre Gerlier
AU - Sanmartin, Claudia
AU - De Coster, Carolyn
AU - Drew, Madeleine
PY - 2010
Y1 - 2010
N2 - Objectives: To assess experts' perceptions of the contextual and local factors that promote or inhibit the implementation of waiting time management strategies (WTMS) in Canadian healthcare organizations. Methods: We conducted 16 semi-structured interviews and one focus group with individuals involved in WTMS at the federal, provincial or organizational level. Results: The most frequently cited local factor was physicians' participation. Physicians' leadership made the greatest difference in bringing resistant physicians on board. To be effective, however, local leadership had to be supported by senior management. Alignment of financial incentives between the contextual and local levels was also frequently cited, and interviewees stressed the importance of tools used to design, monitor, evaluate and prioritize WTMS. Conclusions: Finding the right balance between supportive resources and tools and an effective management system is a tough challenge. But achieving this balance will help reconcile contradictions between top-down and bottom-up WTMS.
AB - Objectives: To assess experts' perceptions of the contextual and local factors that promote or inhibit the implementation of waiting time management strategies (WTMS) in Canadian healthcare organizations. Methods: We conducted 16 semi-structured interviews and one focus group with individuals involved in WTMS at the federal, provincial or organizational level. Results: The most frequently cited local factor was physicians' participation. Physicians' leadership made the greatest difference in bringing resistant physicians on board. To be effective, however, local leadership had to be supported by senior management. Alignment of financial incentives between the contextual and local levels was also frequently cited, and interviewees stressed the importance of tools used to design, monitor, evaluate and prioritize WTMS. Conclusions: Finding the right balance between supportive resources and tools and an effective management system is a tough challenge. But achieving this balance will help reconcile contradictions between top-down and bottom-up WTMS.
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U2 - 10.12927/hcpol.2013.21640
DO - 10.12927/hcpol.2013.21640
M3 - Article
C2 - 21286269
AN - SCOPUS:77950663234
SN - 1715-6572
VL - 5
SP - 66
EP - 81
JO - Healthcare Policy
JF - Healthcare Policy
IS - 3
ER -