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dc.contributor.authorHarding, KE
dc.contributor.authorSnowdon, DA
dc.contributor.authorLewis, AK
dc.contributor.authorLeggat, SG
dc.contributor.authorKent, B
dc.contributor.authorWatts, JJ
dc.contributor.authorTaylor, NF
dc.date.accessioned2019-07-10T11:45:17Z
dc.date.issued2019-05-03
dc.identifier.issn1472-6963
dc.identifier.issn1472-6963
dc.identifier.other283
dc.identifier.urihttp://hdl.handle.net/10026.1/14619
dc.description.abstract

BACKGROUND: Specific Timely Appointments for Triage (STAT) is an intervention designed to reduce waiting time in community outpatient health services, shown to be effective in a large stepped wedge cluster randomised controlled trial. STAT combines initial strategies to reduce existing wait lists with creation of a specific number of protected appointments for new patients based on demand. It offers an alternative to the more traditional methods of demand management for these services using waiting lists with triage systems. This study aimed to explore perceptions of clinicians and administrative staff involved in implementing the model. METHOD: Semi-structured interviews with 20 staff members who experienced the change to STAT were conducted by an independent interviewer. All eight sites involved in the original trial and all professional disciplines were represented in the sample. Data were coded and analysed thematically. RESULTS: Participants agreed that shorter waiting time for patients was the main advantage of the STAT model, and that ongoing management of caseloads was challenging. However, there was variation in the overall weight placed on these factors, and therefore the participants' preference for the new or previous model of care. Perceptions of whether the advantages outweighed the disadvantages were influenced by five sub-themes: staff perception of how much waiting matters to the patient, prior exposure to the management of waiting list, caseload complexity, approach and attitude to the implementation of STAT and organisational factors. CONCLUSIONS: The STAT model has clear benefits but also presents challenges for staff members. The findings of this study suggest that careful preparation and management of change and active planning for known fluctuations in supply and demand are likely to help to mitigate sources of stress and improve the likelihood of successful implementation of the STAT model for improving waiting times for patients referred to community outpatient services.

dc.format.extent283-
dc.format.mediumElectronic
dc.languageen
dc.language.isoen
dc.publisherBMC
dc.subjectWaiting lists
dc.subjectAccess
dc.subjectAppointments and schedules
dc.subjectOutpatients
dc.subjectCommunity health
dc.subjectClinician experience
dc.subjectQualitative
dc.titleStaff perspectives of a model of access and triage for reducing waiting time in ambulatory services: a qualitative study
dc.typejournal-article
dc.typeJournal Article
plymouth.author-urlhttps://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000466912000003&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=11bb513d99f797142bcfeffcc58ea008
plymouth.issue1
plymouth.volume19
plymouth.publication-statusPublished
plymouth.journalBMC Health Services Research
dc.identifier.doi10.1186/s12913-019-4123-0
plymouth.organisational-group/Plymouth
plymouth.organisational-group/Plymouth/Faculty of Health
plymouth.organisational-group/Plymouth/Faculty of Health/School of Nursing and Midwifery
plymouth.organisational-group/Plymouth/REF 2021 Researchers by UoA
plymouth.organisational-group/Plymouth/REF 2021 Researchers by UoA/UoA03 Allied Health Professions, Dentistry, Nursing and Pharmacy
plymouth.organisational-group/Plymouth/Research Groups
plymouth.organisational-group/Plymouth/Research Groups/Institute of Health and Community
plymouth.organisational-group/Plymouth/Research Groups/Plymouth Institute of Health and Care Research (PIHR)
plymouth.organisational-group/Plymouth/Users by role
plymouth.organisational-group/Plymouth/Users by role/Academics
dc.publisher.placeEngland
dcterms.dateAccepted2019-04-24
dc.rights.embargodate2019-7-11
dc.identifier.eissn1472-6963
dc.rights.embargoperiodNot known
rioxxterms.versionofrecord10.1186/s12913-019-4123-0
rioxxterms.licenseref.urihttp://www.rioxx.net/licenses/all-rights-reserved
rioxxterms.licenseref.startdate2019-05-03
rioxxterms.typeJournal Article/Review


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