Sustainability: orthopaedic surgery wait time management strategies
International Journal of Health Care Quality Assurance
ISSN: 0952-6862
Article publication date: 11 May 2015
Abstract
Purpose
The purpose of this paper is to examine Canadian organizational and systemic factors that made it possible to keep wait times within federally established limits for at least 18 months.
Design/methodology/approach
The research design is a multiple cases study. The paper selected three cases: Case 1 – staff were able to maintain compliance with requirements for more than 18 months; Case 2 – staff were able to meet requirements for 18 months, but unable to sustain this level; Case 3 – staff were never able to meet the requirements. For each case the authors interviewed persons involved in the strategies and collected documents. The paper analysed systemic and organizational-level factors; including governance and leadership, culture, resources, methods and tools.
Findings
Findings indicate that the hospital that was able to maintain compliance with the wait time requirements had specific characteristics: an exclusive mandate to do only hip and knee replacement surgery; motivated staff who were not distracted by other concerns; and a strong team spirit.
Originality/value
The authors’ research highlights an important gradient between three cases regarding the factors that sustain waiting times. The paper show that the hospital factory model seems attractive in a super-specialized surgery context. However, patients are selected for simple surgeries, without complications, and so this cannot be considered a unique model.
Keywords
Citation
Amar, C., Pomey, M.-P., SanMartin, C., De Coster, C. and Noseworthy, T. (2015), "Sustainability: orthopaedic surgery wait time management strategies", International Journal of Health Care Quality Assurance, Vol. 28 No. 4, pp. 320-331. https://doi.org/10.1108/IJHCQA-11-2013-0131
Publisher
:Emerald Group Publishing Limited
Copyright © 2015, Emerald Group Publishing Limited