Waiting for ENT opinion and treatment: will things ever improve?

Yates, J. K.

doi:10.1046/j.1365-2273.2001.00446.x

Cited by 6 publications

(5 citation statements)

References 3 publications

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“…Otitis media is known to be associated with a significant burden of disease, particularly in early childhood (Monasta et al, 2012), yet access to specialist otolaryngology (ORL) services is often impeded by lack of capacity, medical shortages, and high demand (Caffery, Farjian, & Smith, 2016;Hofstetter, Kokesh, Ferguson, & Hood, 2010;Patil, Meinzen-Derr, Hendricks, & Patil, 2016;Pokorny, Wilson, Thorne, & Whitfield, 2018;Yates, 2001). The expansion of the scopes of practice of some healthcare workers by the substitution of a medical specialist or surgeon with a nonmedical healthcare worker is a concept that has the potential to reduce waitlists and wait times (Belthur, Clegg, & Strange, 2003;Blackburn, Cowan, Cary, & Nall, 2009;O Mir et al, 2016;Walsh, Pilkington, Wong, Brown, & Mercer, 2014), make better use of specialist skillsets, and reduce costs of service provision, all while providing conservative and appropriate treatment with improved or equivalent clinical outcomes (Hourigan & Weatherley, 1994).…”

Section: Introductionmentioning

confidence: 99%

Effectiveness and Safety of Advanced Audiology-Led Triage in Pediatric Otolaryngology Services

et al. 2020

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Objective: Expansion of the scopes of practice of allied health practitioners has the potential to improve the efficiency and cost-effectiveness of healthcare, given the identified shortages in medical personnel. Despite numerous examples in other allied health disciplines, this has yet to be applied to pediatric Audiology. This study aimed to investigate the effectiveness and safety of using audiologists with advanced training to independently triage children referred to ORL services, and compare the subsequent use of specialist resources, and postoperative grommet care to a standard medical ORL service.Design: One hundred and twenty children consecutively referred to a large ORL outpatient service in Queensland, Australia, for middle ear and hearing concerns were prospectively allocated to either the ORL service or Advanced Audiology-led service. Demographic and clinical data were extracted from electronic medical records and compared between the two services. Results:Approximately half of all children referred to ORL for middle ear or hearing concerns were discharged without requiring any treatment, with the remaining half offered surgical treatment. The Advanced Audiology-led model improved increased the proportion of children assessed by ORL that proceeded to surgery surgical conversion rate from 57% to 82% compared with the standard medical traditional ORL model. Children followed up by the advanced audiologists after grommet insertion were more likely to be discharged independently and at the first postoperative review appointment compared with the traditional standard medical ORL service. There were no reports of adverse events or long term bilateral hearing loss after discharge by the Advanced Audiology-led service. Conclusions:These findings indicate that an Advanced Audiology-led service provides a safe and effective triaging model for the independent management of children not requiring treatment and children requiring routine postoperative grommet review, and improves the effective use of specialist resource compared with the standard medical ORL service.

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Section: Introductionmentioning

confidence: 99%

Effectiveness and Safety of Advanced Audiology-Led Triage in Pediatric Otolaryngology Services

et al. 2020

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“…These factors alone, and particularly in combination, may cause difficulties in access to otolaryngology care. Across the specialty, those in public health systems have studied wait times, rapid access clinics, and emergency clinics to optimize patient care 4–6 . Rapid access appointment‐based clinics or emergency clinics with scheduled appointments were noted to be a valuable resource for patients with primary care physicians requesting referrals for otolaryngology 4 , 5 …”

mentioning

confidence: 99%

“…Across the specialty, those in public health systems have studied wait times, rapid access clinics, and emergency clinics to optimize patient care. [4][5][6] Rapid access appointment-based clinics or emergency clinics with scheduled appointments were noted to be a valuable resource for patients with primary care physicians requesting referrals for otolaryngology. 4,5 To meet the demand of patient care, many institutions have developed same-day appointments or patient appointments within 24 hours of calling for an appointment.…”

mentioning

confidence: 99%

Assessing the Practice Characteristics of Otolaryngology Same‐Day Appointments in an Academic Center

Geelan-Hansen

Were

Granger

et al. 2020

Otolaryngol.--head neck surg.

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Objectives to Examine the practice characteristics of same-day clinic appointments and the use of same-day appointment scheduling to provide access to care in an otolaryngology–head and neck surgery clinic. Methods Retrospective chart review of same-day clinic appointments from January 1, 2016, to December 31, 2018, in patients aged >19 years at a single academic center. Demographic data, diagnoses, procedures completed, and operations completed were analyzed. Results There were 2696 visits by 2324 patients during the 3-year study period. More men than women (57% vs 43%) made same-day appointments. The mean age was 50.7 years (range, 19-99 years). Sinonasal and otologic diagnoses were the most frequently coded. A total of 1452 procedures were completed on the day of the visit, and 239 operations were completed as a result of the visit. Overall, a broad spectrum of otolaryngology care was delivered within the organizational new patient access goals. Discussion Access to otolaryngology–head and neck surgery care can be challenging. Many patients will seek care when they feel they need it, and patient conditions can change unexpectedly. Offering same-day scheduling can allow patients timely health care and appropriate care. Implications for Practice Same-day appointment scheduling can provide access to care and urgent care for patients. The department of otolaryngology–head and neck surgery has been able to maintain a high rate of providing new patient appointments within 10 days with this method. Further considerations for the impact of same-day scheduling on no-show rates and patient satisfaction can be evaluated.

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“…In England, the number of patients awaiting otorhinolaryngology surgery throughout the country has been reasonably constant for the last 50 years —varying between 100 and 150 thousand people 4. The average waiting time, however, has dropped significantly since the beginning of the 90's.…”

Section: Introductionmentioning

confidence: 99%

The problem of waiting lines for otorhinolaryngology surgeries in public services

Sarmento¹,

Tomita²,

Kós³

2005

Brazilian Journal of Otorhinolaryngology

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Waiting for ENT opinion and treatment: will things ever improve?

Cited by 6 publications

References 3 publications

Effectiveness and Safety of Advanced Audiology-Led Triage in Pediatric Otolaryngology Services

Effectiveness and Safety of Advanced Audiology-Led Triage in Pediatric Otolaryngology Services

Assessing the Practice Characteristics of Otolaryngology Same‐Day Appointments in an Academic Center

The problem of waiting lines for otorhinolaryngology surgeries in public services

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