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.

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.