Evidence map›Paper›PMID 41558725›Full record

ArticleJournal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-faciale

A Qualitative Study on the Role of Single-Entry Models in Managing Surgical Backlogs in Pediatric Otolaryngology Part 1: Investigating Perceptions of Referring Physicians and Otolaryngologists.

Justin Shapiro, Veronica Grad, Chloe Pulver, Olivia Sanders, Leah Kanee, Sahar Hoveyda, Maya Zaidman, Arieh Leving, Agnieszka Dzioba, Brian Rotenberg and 8 more

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In one paragraph

Article in Journal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-faciale. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

18 authors.

Justin ShapiroDepartment of Otolaryngology-Head and Neck Surgery, Schulich School of Medicine and Dentistry, Western University, London, ON, Canada.ORCID 0000-0002-6559-9515
Veronica GradSchulich School of Medicine and Dentistry, Western University, London, ON, Canada.ORCID 0009-0006-1628-2817
Chloe PulverSchulich School of Medicine and Dentistry, Western University, London, ON, Canada.ORCID 0009-0009-4640-440X
Olivia SandersSchulich School of Medicine and Dentistry, Western University, London, ON, Canada.
Leah KaneeSchulich School of Medicine and Dentistry, Western University, London, ON, Canada.
Sahar HoveydaSchulich School of Medicine and Dentistry, Western University, London, ON, Canada.
Maya ZaidmanSchulich School of Medicine and Dentistry, Western University, London, ON, Canada.
Arieh LevingWestern University, London, ON, Canada.
Agnieszka DziobaDepartment of Otolaryngology-Head and Neck Surgery, Schulich School of Medicine and Dentistry, Western University, London, ON, Canada.ORCID 0000-0002-7609-5988
Brian RotenbergDepartment of Otolaryngology-Head and Neck Surgery, Schulich School of Medicine and Dentistry, Western University, London, ON, Canada.
David R UrbachInstitute of Health Policy, Management and Evaluation, University of Toronto, Toronto, ON, Canada.
M Elise GrahamDivision of Otolaryngology - Head and Neck Surgery, Dalhousie University and IWK Health Centre, Halifax, NS, Canada.ORCID 0000-0001-7159-2953
Janet ChungInstitute of Health Policy, Management and Evaluation, University of Toronto, Toronto, ON, Canada.
Josee ParadisDepartment of Otolaryngology-Head and Neck Surgery, Schulich School of Medicine and Dentistry, Western University, London, ON, Canada.
Murad HuseinDepartment of Otolaryngology-Head and Neck Surgery, Schulich School of Medicine and Dentistry, Western University, London, ON, Canada.
Peng YouDepartment of Otolaryngology-Head and Neck Surgery, Schulich School of Medicine and Dentistry, Western University, London, ON, Canada.ORCID 0000-0001-6573-5735
Yvonne ChanDepartment of Otolaryngology-Head and Neck Surgery, University of Toronto, Toronto, ON, Canada.
Julie E StrychowskyDepartment of Otolaryngology-Head and Neck Surgery, Schulich School of Medicine and Dentistry, Western University, London, ON, Canada.ORCID 0000-0001-5460-3155

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

ImportanceSingle-entry models (SEMs) can decrease wait times by placing patients in a common queue to see the first available physician. SEMs may be suitable to manage wait times in pediatric otolaryngology; however, understanding is lacking on stakeholder perceptions, and no previous studies have evaluated SEMs specifically for pediatric otolaryngology patients.ObjectiveTo evaluate the views of referring physicians and otolaryngologists on the role of SEMs in managing surgical backlogs for high-volume procedures, and to investigate their recommendations for optimal SEM design and implementation.DesignA qualitative study using semi-structured interviews (according to COREQ and SRQR guidelines).SettingPrimary care and referral settings across Ontario, Canada.ParticipantsTwelve referring physicians who refer to pediatric otolaryngologists and 11 otolaryngologists were recruited through purposive sampling. Eligibility criteria included physicians that work in Ontario.Intervention or ExposuresThis study investigated the perceptions of referring physicians and otolaryngologists on the concept of implementing SEMs for pediatric otolaryngology.Main Outcome MeasuresReferring physicians' and otolaryngologists' perceptions of SEMs as a method of managing wait times in pediatric otolaryngology.ResultsFour thematic domains, each with subdomains, were identified: (1) perceived value of SEMs; (2) operational design and digital integration; (3) evidence and resourcing; and (4) adoption, scope, and system pressures.ConclusionsSEMs are viewed as a viable option to address the surgical backlog in pediatric otolaryngology, from the perspective of referring physicians and otolaryngologists.RelevanceImplementation of an SEM should consider ease of use, adequate support resources, strong and regular communication with all stakeholders, long-term funding, and transparency.

Indexed as

Attitude of Health PersonnelOtolaryngologistsOtolaryngologyPediatricsReferral and ConsultationChildFemaleHumansInterviews as TopicMaleOntarioQualitative ResearchWaiting Listsotolaryngologistspatient centered carereferring physicianssingle-entry modelssurgical backlog

Identifiers

PMID41558725
PMCPMC12819990

What Socratic holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.