A Qualitative Study on the Role of Single-Entry Models in Managing Surgical Backlogs in Pediatric Otolaryngology Part 2: Investigating Perceptions of Patients and Their Caregivers

Importance Single-entry models (SEMs) may decrease wait times as they place patients in a common queue to see the first available physician. Accordingly, SEMs are a potential strategy for managing wait times in pediatric otolaryngology. No study has assessed SEMs in pediatric otolaryngology or evaluated the perspectives of patients and caregivers. Objective To evaluate the views of patients and their caregivers on the role of SEMs in managing surgical backlogs for high-volume procedures and to capture information regarding their suggestions for optimal SEM design and implementation. Design A qualitative study using semi-structured interviews (according to COREQ and SRQR guidelines). Setting Academic and community pediatric otolaryngology settings across Ontario, Canada. Participants Eight patients, along with their caregivers, were recruited through purposive sampling. Eligibility criteria included Ontario residents who are fluent in English and were scheduled for, or already had, a routine pediatric otolaryngology procedure. Intervention or Exposures This study investigated the perceptions of pediatric otolaryngology patients and their caregivers on the concept of implementing SEMs for pediatric otolaryngology. Main Outcome Measures Pediatric otolaryngology patients and their caregivers’ perceptions of SEMs as a method of managing wait times in pediatric otolaryngology. Results Across the patient and caregiver stakeholder group, four thematic domains were established: (1) challenges of long wait times, (2) current perceptions and hesitations of SEM, (3) enablers and patient buy-in, and (4) additional wait time reduction strategies. Conclusions Patients and caregivers agreed that implementing an SEM would effectively decrease wait times for routine procedures in pediatric otolaryngology. They felt that it would likely promote patient equity and accessibility and improve patient healthcare experiences. Relevance Emphasizing communication, transparency, patient autonomy, and funding will be imperative to patient and caregiver satisfaction and SEM longevity.