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The effectiveness of service delivery initiatives at improving patients' waiting times in clinical radiology departments : a systematic review
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Olisemeke, B., Chen, Y-F., Hemming, Karla and Girling, Alan J. (2014) The effectiveness of service delivery initiatives at improving patients' waiting times in clinical radiology departments : a systematic review. Journal of Digital Imaging, 27 (6). pp. 751-778. doi:10.1007/s10278-014-9706-z ISSN 0897-1889.
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Official URL: http://dx.doi.org/10.1007/s10278-014-9706-z
Abstract
We reviewed the literature for the impact of service delivery initiatives (SDIs) on patients' waiting times within radiology departments. We searched MEDLINE, EMBASE, CINAHL, INSPEC and The Cochrane Library for relevant articles published between 1995 and February, 2013. The Cochrane EPOC risk of bias tool was used to assess the risk of bias on studies that met specified design criteria. Fifty-seven studies met the inclusion criteria. The types of SDI implemented included extended scope practice (ESP, three studies), quality management (12 studies), productivity-enhancing technologies (PETs, 29 studies), multiple interventions (11 studies), outsourcing and pay-for-performance (one study each). The uncontrolled pre- and post-intervention and the post-intervention designs were used in 54 (95%) of the studies. The reporting quality was poor: many of the studies did not test and/or report the statistical significance of their results. The studies were highly heterogeneous, therefore meta-analysis was inappropriate. The following type of SDIs showed promising results: extended scope practice; quality management methodologies including Six Sigma, Lean methodology, and continuous quality improvement; productivity-enhancing technologies including speech recognition reporting, teleradiology and computerised physician order entry systems. We have suggested improved study design and the mapping of the definitions of patient waiting times in radiology to generic timelines as a starting point for moving towards a situation where it becomes less restrictive to compare and/or pool the results of future studies in a meta-analysis.
Item Type: | Journal Article | ||||
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Subjects: | R Medicine > RA Public aspects of medicine | ||||
Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences > Population, Evidence & Technologies (PET) Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
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Library of Congress Subject Headings (LCSH): | Hospitals -- Radiological services -- Administration, Hospitals -- Waiting lists, Radiography, Medical, Evidence-based medicine -- Methodology, Medicine -- Research -- Evaluation, Outcome assessment (Medical care), Meta-analysis, Medical radiology, Imaging systems in medicine | ||||
Journal or Publication Title: | Journal of Digital Imaging | ||||
Publisher: | Springer | ||||
ISSN: | 0897-1889 | ||||
Official Date: | December 2014 | ||||
Dates: |
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Volume: | 27 | ||||
Number: | 6 | ||||
Page Range: | pp. 751-778 | ||||
DOI: | 10.1007/s10278-014-9706-z | ||||
Status: | Peer Reviewed | ||||
Publication Status: | Published | ||||
Access rights to Published version: | Open Access (Creative Commons) |
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